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Inspection report

Date of Inspection: 15 November 2013
Date of Publication: 28 December 2013
Inspection Report published 28 December 2013 PDF | 103.74 KB

Overview

Inspection carried out on 15 November 2013

During an inspection to make sure that the improvements required had been made

When we inspected the service in May 2013 we required the provider to make improvements in six key areas. The provider sent us an action plan and we allowed time for that plan to be successfully implemented. At this inspection we found that very little had changed and improvements were still required.

We found that despite people having capacity to make decisions themselves people had become highly dependent on staff. People had not been helped to develop everyday living skills such as making their own drinks or helping with preparation of meals. One person told us, "I would like to help with cooking. I've been on a cookery course, I like cooking” but they had not been supported to develop their skills at the home. Another person had wanted to progress to living in their own flat, but we found no evidence of how the service had supported them towards that aim.

People told us that they enjoyed the food at the home. However, one person told us, "I'd like lamb chops or steak occasionally but I'd be surprised if I could have it." People had a choice of food but choices did not include healthy eating options or more nutritious food.

All of the people who used the service had been assessed as having capacity to make decisions about their finances. However, not all people had direct access to their money. The registered manager told us that this was for people's protection but we saw no evidence that there had been meetings to decide a person's best interests or that the provider had power of attorney over a person's finances.

The provider had a recruitment policy but it had not been followed. In one instance an applicant had been allowed to start work without proper references.

Not all staff had received training in key important subjects such as the Mental Capacity Act 2005.

The provider had not carried out effective monitoring of the quality of service provided.

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