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Inspection report

Date of Inspection: 7 April 2014
Date of Publication: 14 May 2014
Inspection Report published 14 May 2014 PDF | 75.33 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 7 April 2014 and talked with staff.

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

At the time of our inspection visit, there were four people using the service and we looked at the care records for all four of these people.

We found that each person had a detailed assessment of their care needs, and this had been repeated regularly so the service could recognise where people's needs had changed.

Each person had a detailed set of care plans, which indicated that care had been planned in a way which was intended to protect their safety and welfare. Care plans included detailed information for staff about people's needs, and how staff should meet those needs.

Each person had been assessed as to their mobility, malnutrition risk, falls risk and risk of developing pressure areas. These assessments had been updated regularly and actions were put in place to reduce the risk to the person where it was necessary.

There were risk assessments in place for each of the four people whose records we reviewed. These included a fire risk assessment, behaviour risk assessment and other assessments relevant to the person’s needs. These had been updated regularly and actions were put in place to reduce the risk to the person.

We found that the service was responsive to people's needs. We found that staff took prompt action when they identified concerns with a person’s care and welfare. This included seeking advice and support from healthcare professionals such as dentists, GP's and mental health practitioners where necessary.

We found that there were separate care plans around visiting the GP, dentist and other healthcare professionals. These were written in an easy read pictorial format, and set out people's needs when visiting healthcare professionals outside of the service. These care plans also set out the person’s anxieties with visiting healthcare professionals, and provided information for staff on how to alleviate their anxieties.

We checked to see if anyone using the service was subject to a deprivation of liberty safeguards. A deprivation of liberty is when a persons ability to do something is restricted because it is considered to be in their best interest. In this case, safeguards are put in place to protect the person from an unlawful restriction of their liberty. At the time of visit, none of the four people using the service were subject to a deprivation of liberty safeguard. Staff demonstrated a good knowledge of deprivation of liberty safeguards and had recieved training in the subject within the year prior to inspection. We found that there was an appropriate policy and procedure in place at the service regarding deprivation of liberty safeguards.