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Inspection report

Date of Inspection: 31 January 2013
Date of Publication: 2 March 2013
Inspection Report published 2 March 2013 PDF | 80.64 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 31 January 2013, observed how people were being cared for and talked with people who use the service. We talked with staff.

Our judgement

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

Reasons for our judgement

We looked at five care plans to see how people's needs were identified and supported. We were told that a computer system was used to create the care plans. The care plans could be tailored to individuals by identifying particular care needs. However, there was a tendency for the language used to be generalised and lacked the specific details that would allow the person to be treated as an individual. For example, we read that one person could occasionally lose interest in entertainment activities. The plan stated that 'carers should try to identify the reasons and act accordingly'. The plan didn't identify specific ways of helping that person engage in activities.

We discussed care plans with the manager who told us that staff were aware of the individual ways to support people even though they were not specified in the support plans. The manager also told us that they would review the plans to include details that were relevant to the individual.

We also spoke with staff about how they became familiar with people's needs and were told that these would be discussed at staff meetings and handovers. Staff felt that this system worked well.

Although care plans, lacked individuality, we were told about other ways in which information about people was recorded. For example, we were told that life history booklets were completed with people at the home and we saw an example of one. Life histories help document the important details in a person's life and support staff in understand people as individuals. We were also told about an outside agency that had been involved in finding new activities to engage one individual. We saw photographs of this person and the work that they had produced.

We saw that risk assessments were in place where required to help ensure that people were supported in a safe way. For example, where it was identified that a person was at risk of falls, the measures that could be put in place to support that person were identified. We also saw evidence that other healthcare professionals were in involved in supporting people when required. On the day of our visit, a GP was visiting one person in the home. We were also told about individuals for whom district nurses had been contacted.

One person living at Brockley Court told us that they were well cared for and another person commented that they 'get on well' with staff. Another person that we spoke with was able to understand questions but not able to answer verbally. This person indicated that they had everything they needed and that they were well looked after.