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Inspection report

Date of Inspection: 16 July 2013
Date of Publication: 2 October 2013
Inspection Report published 02 October 2013 PDF | 74.51 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 16 July 2013, observed how people were being cared for and talked with staff. We reviewed information given to us by the provider and talked with other authorities.

Our judgement

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

rights.

Reasons for our judgement

People’s individual care and treatment needs were assessed and care was provided to meet their needs. We looked at care plans for the two people who lived in the home. We saw evidence that each person's care needs had been assessed and there was a care plan to meet their individual needs.

The care records also showed information on people’s risks and contained guidance for staff on how to manage the risk. For example, where a person had been identified as having poor mobility and therefore at risk of falls, the care plan had been reviewed to support the person and reduce the risk of falls. The care records also contained information on how to reduce the risk of falls in the person’s environment, for example ensuring the floor was free from potential trip hazards and the carpets were in good condition. From the fall's monitoring this person had in place the fall's had reduced. It has also help maintain their independence. People’s risks of developing pressure area damage and associated risk management were also documented. When we spoke to staff they were able to describe what they should look for and this reflected in the care plan. We saw that people were weighed regularly which helps monitor weight gain or lose and enables meals to be given that meets their individual needs.

Staff understood people’s needs. We asked a staff member about the care needs of each person. The staff member was able to tell us about each individual's care needs and how they met their needs. For example, they spoke about the mobility risks of one person and how they managed those risks. They told us how they assisted the person to use their frame to assist mobility. We saw this was documented information within the person’s care records.

The care records demonstrated that people's risks were reviewed every six months by the home manager. Care records were also reviewed six monthly and more frequently if required, for example a change in a person's condition.

The home obtained professional healthcare advice when required. We saw from people’s care records that contact with a healthcare specialist, for example a GP or a district nurse, had been documented. Each care record contained a continual record that showed visits from healthcare specialists. On the day of our inspection one person was visited by their GP due to complaining of being unwell with a chest infection. The provider stated they work closely with the GP in managing this reoccurring illness. We saw evidence that there was a specific care record to help reduce the risk and manage this condition.

During the inspection we observed staff inter acting with people in a person centred way and respecting their wishes.

We spoke with a commissioning local authority and spoke to the Senior Social Worker who stated they reviewed the service and are happy with the way the persons needs are met