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Inspection report

Date of Inspection: 2 May 2012
Date of Publication: 29 May 2012
Inspection Report published 29 May 2012 PDF

People should get safe and appropriate care that meets their needs and supports their rights (outcome 4)

Meeting this standard

We checked that people who use this service

  • Experience effective, safe and appropriate care, treatment and support that meets their needs and protects their rights.

How this check was done

Our judgement

The provider was meeting this regulation. People experienced care and support that met their needs and protected their rights.

User experience

Staff we talked with were able to describe the individuals’ care preferences. Staff knew which people preferred to shower in the mornings, what time they preferred to get up and what activities they liked to do. When we asked people how staff helped them one person said, “I can wash myself in the bathroom, but staff take me for a shower when I want one”. Another person told us, “I have been shopping with staff today, in the wheelchair, to get a magazine and drinks and to the post office”. This meant that people's needs were assessed and care and support was planned and delivered in line with their individual care plan.

We found that people’s bedrooms were clean and personalised with photos, hobbies and other personal possessions. We found that people’s independence was supported, for example, some people cleaned their own rooms and enjoyed cooking. Staff told us that some people liked to do their own washing and people we talked to said they were supported to do that. We saw that people’s rooms had been adapted to encourage independence, for example, grab rails had been installed from the bed to the bathroom so the person could move around independently. This meant that people’s individual needs and abilities were considered.

One member of staff we talked with said, “We have a verbal handover at shift change and the care diaries and life diaries, plus a board for appointments”. Another member of staff told us that they always have a copy of people’s contacts and medication sheets when they go out in the bus.

People we talked with showed us where their medicines were kept in locked cabinets in their rooms. One person told us that staff collected medicines for them, but they know what to take and when to take it. Another person told us that a dentist comes to the home and they have a check-up, but they go to their own dentist for treatment. This meant that people’s welfare and wellbeing were promoted.

One person we talked with said, “Yes, I talk to staff about my care plan” and another person said, “I don’t want to talk about my care plans, the staff are alright, they know me”. Staff told us they know about any changes to people’s care because it is always recorded in the daily handover book. One member of staff said, “We have a conversation book for each person so that incoming shift staff know exactly what has taken place that day”. This meant that peoples changing needs were known about and care adapted accordingly.

Other evidence

We looked at four people’s care plans and saw they were agreed to and signed by people who live at the home or their relatives.

We saw that staff recorded details about people’s health and medication and that senior staff monitored the records. In the daily handover book we saw that staff had recorded when someone’s medication needs had changed to make sure that the next shift would know about the change. We saw that everyone had a care diary and staff recorded when other health professionals, like doctors or nurses, were called to the home.

We found that care plans were reviewed every month by the care manager and changed when necessary to meet people’s changing needs.