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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 | 84.24 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 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 experienced care, treatment and support that met their needs and protected their rights.

Reasons for our judgement

People’s needs were assessed and care and treatment was planned and delivered in line with their individual care plan.

We looked at four care plans and found them to be sufficiently detailed to enable staff to deliver the correct care to people. We spoke with four care staff to assess their understanding of the care being delivered. The staff was able to tell us that they had responsibility to complete daily records, which described the care and treatment given to people who used the service. The staff told us that if people’s care needs changed, they would inform the nurse on duty so they could seek appropriate advice and change the person’s care and treatment plan.

We found the care plans were well written and the daily notes contained sufficient detail to enable staff to evaluate the person’s care monthly. We found risk assessments in relation to moving and handling, falls, pressure care and nutritional assessments. They had been updated monthly, and gave staff information about how to deliver care and treatment to people. Staff told us that they also had responsibility for updating assessments which helped to evaluate the care given to people.

We observed staff using moving and handling equipment appropriately, which was described in people’s care plans. Staff told us that they had supported one person to obtain a specially adapted wheelchair to ensure the person's safety and comfort.

We saw examples of where the speech and language therapist team had been involved when people were at risk from choking. We found records which confirmed people received sufficient food and drinks to meet their needs. We looked at the fluid charts for one person who received nourishment through a medical device. This was because they could not obtain nutrition by swallowing. The records confirmed the person’s nutritional needs were being met.

Staff told us that they had opportunities to read the plans of care. They said changes to people’s care needs were discussed at daily handovers.