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Archived: Beechlands EMI Residential Care Home

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Inspection report

Date of Inspection: 8 May 2014
Date of Publication: 17 June 2014
Inspection Report published 17 June 2014 PDF | 82.41 KB

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

We looked at the personal care or treatment records of people who use the service, carried out a visit on 8 May 2014, observed how people were being cared for and checked how people were cared for at each stage of their treatment and care. We talked with carers and / or family members, talked with staff and reviewed information sent to us by commissioners of services.

Our judgement

Care and treatment was planned and delivered in a way that was intended to ensure people's safety and welfare.

Reasons for our judgement

People’s needs were assessed and care was planned and delivered in line with each person’s individual care plan. Each person who used the service had a care file which contained care plans for their assessed needs. We looked at care plans belonging to four people. Care plans which covered areas of need including communication, personal care, healthcare and mobility provided information about how the person’s need should be met. Risk assessments had been carried out and a risk management plan was in place alongside the relevant care plan. Risk assessments detailed the action staff needed to take to minimise any risk of harm to the person and others involved in their care and support.

The provider may find it useful to note that we saw care plans for some people who used the service had not been reviewed each month as required and there was no evidence to show peoples representatives had been consulted about them. For example we saw care plans which had not been reviewed for three months although there was a policy in place which required monthly reviews of all care plans. People are at risk of not having their needs met if their care plans are not regularly reviewed, updated and agreed by relevant people.

We saw records which showed people had been supported to access primary health care services such as with their GP, dentist, chiropodist and optician. Records showed where a potential health concern was noted this had been followed up appropriately by staff. For example, if a person presented as physically or mentally unwell they were supported to access their GP. During our visit we met with a visiting healthcare professional who confirmed that they had reviewed some people’s care and were satisfied that those people had received the right care and support with their physical and emotional health and wellbeing. For example, people had been regularly weighed and appropriate referrals had been made to a dietician where a concern about a person’s weight had been noted.

The staff we spoke with were aware as to the appropriate action to take if a person presented as seriously unwell. Staff talked us through the actions they would take in a medical emergency which included carrying out the necessary first aid and calling emergency services. Staff knew where first aid kits and other emergency equipment were located within the home. Records showed staff had recently completed first aid training.

We talked with staff and observed them providing people with direct care and support. We saw staff were aware of people’s needs and that they provided people with appropriate care and support. Staff spent considerable time sitting and talking with people and they were respectful and pleasant in their interactions. We observed that staff explained to the person the task they were about to carry out.

The service employs an activities coordinator to help meet people’s social and recreational needs. The activities coordinator had information about people who used the service including their hobbies and interests which helped them to plan appropriate activities. We observed people receiving one to one activities including card making and embroidery.