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Stretton Nursing Home Requires improvement

All reports

Inspection report

Date of Inspection: 19 March 2013
Date of Publication: 17 April 2013
Inspection Report published 17 April 2013 PDF | 77.51 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 19 March 2013, observed how people were being cared for and checked how people were cared for at each stage of their treatment and care. We talked with people who use the service, talked with carers and / or family members and talked with staff.

Our judgement

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

Reasons for our judgement

At our previous inspection in January 2013, we had found that the home was not ensuring that people had enough to drink. This meant that people could have been at risk of dehydration. The registered manager had assured us that steps had been taken to ensure that people’s hydration needs were being met.

We saw that people had drinks available to them whether they were in their own rooms or in the sitting rooms. We saw that staff were offering them drinks regularly. Staff were recording how much each person was drinking, so that there was a record of people’s fluid intake.

We checked the charts for six people who were having their fluid intake recorded. Generally the charts had been completed with details of each person’s fluid intake, although the records were not always completely accurate. One person’s chart did not show a very high amount of fluids taken. We spoke with the person, and they told us that they had had much more to drink than was recorded on the chart.

Some people had catheters in place to drain urine from their bladders. There were detailed records in place for staff about how to manage the catheters.

Some people had been assessed as being at risk of pressure damage to the skin. We saw that people were sitting on pressure relieving cushions, and had specialist mattresses for the prevention of pressure area damage. Records showed that staff were supporting people to change their position regularly. We saw that people had had their position changed every two hours during the inspection. Staff were aware of the need to check for any redness of the skin. Records showed that staff had recorded any concerns about people’s skin and had reported these to the nurse on duty. This showed that staff were following the instructions in the care plans about how to prevent pressure area damage.

We saw that people were taking part in a music and quiz activity on the day of our visit. Although some of the music was appropriate for the age of the people living at the home, we heard people being encouraged to sing nursery rhymes. We also heard people being asked to recite multiplication tables. It appeared to us that these activities might not be appropriate for people living with dementia. We discussed the activities on offer with the registered manager. She acknowledged that there was still work to be done in this area.

We saw that some people were sitting in wheelchairs for long periods of time. We mentioned in our last report that the provider might find it useful to note that it is not considered good practice for people to remain in wheelchairs for long periods of time. Wheelchairs are generally designed for moving from one place to another and are not designed as comfortable seats.