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Treeton Grange Nursing Home Good

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Inspection report

Date of Inspection: 5 November 2012
Date of Publication: 28 November 2012
Inspection Report published 28 November 2012 PDF

People should be treated with respect, involved in discussions about their care and treatment and able to influence how the service is run (outcome 1)

Meeting this standard

We checked that people who use this service

  • Understand the care, treatment and support choices available to them.
  • Can express their views, so far as they are able to do so, and are involved in making decisions about their care, treatment and support.
  • Have their privacy, dignity and independence respected.
  • Have their views and experiences taken into account in the way the service is provided and delivered.

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 5 November 2012, 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 people who use the service, talked with carers and / or family members and talked with staff.

Our judgement

People’s views and experiences were taken into account in the way the service was provided and delivered in relation to their care.

Reasons for our judgement

People who use the service were given appropriate information and support regarding their care or treatment.

Throughout this inspection we observed staff being respectful and they maintained people’s dignity and privacy. We saw staff speaking to people discreetly about their personal care. For example staff spoke quietly to people when asking if they needed assistance to go to the toilet. Other examples included staff ensuring people were covered while being moved using their wheelchair. We saw staff knocking on people’s bedroom doors and waiting to be invited into their bedroom.

We observed staff assisting people to move into the dining areas for lunch. Staff spoke to people in an appropriate manner about where they were going and that it was time for lunch. Staff told us about how they supported individuals with their meals.

During our observations over lunchtime, we saw staff supporting people to eat their meals. They sat at the side of the person, explained what the meal was and chatted at appropriate times during the meal. The pace of assistance was appropriate to the person’s needs and staff paid attention to ensuring people maintained their dignity throughout the meal.

We found that staff encouraged people to make choices about where they sat and how they spent their time. Staff were able to tell us about people who preferred to spend time in their bedrooms, while others liked the company of other people living at the home.

We saw one member of staff asking a person who had limited communication what they wanted to eat when the home went out for their Christmas meal. The staff member was very patient. The person understood what she was asking and was able to respond by choosing roast beef rather than the traditional turkey.

People who used the service were given appropriate information and support regarding their care or treatment. One care plan we looked at had a record which described their “preferred priorities for care.” It described the person’s preferences for their future care if they became ill. The record had been agreed and signed by a relative, and it had also been agreed with the person’s doctor.

We spoke with four staff about how they maintained people’s dignity. They gave us several examples of good practice, like closing doors and curtains before giving personal care. They included making sure dignity was respected when undertaking personal care, for example covering the person throughout washing and bathing the person.

People were able to join in activities of their own choice. We observed a number of people joining in games of bingo in the afternoon. The activity coordinator told us that she had provided one to one activities during the morning which included nail care, and listening to music. This was arranged for people who preferred to spend time in their rooms.