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Inspection report

Date of Inspection: 22 October 2013
Date of Publication: 27 November 2013
Inspection Report published 27 November 2013 PDF

Overview

Inspection carried out on 22 October 2013

During a routine inspection

At this inspection we discussed arrangements in place for people to give consent and were told that they were able to agree or disagree to care and treatment offered and provided. We spoke with 12 of the 16 people who used the service and they told us "Staff always ask or explain something" and "They make sure I understand and ask if I don't." We reviewed six care records and saw that people had been involved in the care planning process and had signed to say they agreed their plan.

Records reviewed showed that an assessment of people's needs and abilities had been undertaken. Care plans showed how the needs of people were to be met. Plans covered physical, emotional, mental health, social, communication and behavioural needs and each care plan had its own associated risk assessment. There was instruction to staff about how needs and risks should be managed. People told us "I love being here, it is my home" and "I didn't feel safe before I came here. I want to stay, it is a good place".

We were notified by Wirral Borough Council prior to inspection about a safeguarding incident. We found that the incident had been investigated and addressed appropriately and that immediate action had been taken to ensure people's safety.

We found that premises were not of an adequate standard to ensure people's comfort and safety. We discussed this with the provider who said that improvements to the premises were already planned and our findings would be included in that plan. We asked the provider to send us a copy of the improvement plan.

There were systems in place to appraise and supervise staff and staff spoken with felt well supported to carry out their role. However not all necessary documentation was in place to ensure people were protected by staff whose identity had been clarified and who were appropriately skilled to carry out the role. We discussed this with the manager who said that action was being taken to make sure the missing documentation was received.

We saw that audits of staff files, care plans, medication and finance had been implemented over the last few months and these were to continue on a regular basis. A new system was being introduced whereby each member of staff would be responsible for a different audit such as first aid, fire safety, food hygiene and infection control. We saw evidence that these had begun.