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Archived: Breach House

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Inspection report

Date of Inspection: 28 September 2011
Date of Publication: 1 November 2011
Inspection Report published 1 November 2011 PDF

People should get safe and appropriate care that meets their needs and supports their rights (outcome 4)

Not met 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

Our judgement

People needs had been assessed. To ensure that people experienced continued safe, effective and appropriate care that met their needs and protected their rights, improvements were needed in monitoring and recording peoples’ changes in health, care and welfare needs.

User experience

People told us that they felt they were well cared for and looked after well but at some meal times staff were busy. The provider had already identified this point and told us that the recently recruited temporary assistant deputy manger would resolve this.

We observed staff being respectful to people living at the home. They were able to communicate with people on an individual level which reflected peoples’ personalities.

People told us that they were listened to and where they felt things were not working for them they were put right. This meant that one person was able to express a preferred gender staff for personal care.

Other evidence

We looked at two care plans to see how the home recorded and updated the care and treatment people needed. The information in the care plans had been updated and reviewed monthly. The care plans provided risk assessments for the individual’s needs and documented how the staff could meet the need or reduce the risks to the person. Their medication was listed, including the dosage, the reasons for the medication and the possible side effects. We then looked at the Medication Assessment Records (MAR) which showed that the medication had been given as prescribed with no missing information.

In both care plans we looked at we could see that the people had lost weight and this had been recorded. The documents did not show what action the home had taken in response to the weight loss. The provider told us that the doctor’s reviewed and monitored peoples’ weight regularly and that this information would have been shared with them. No record of a doctor’s appointment could be found to evidence this. There were no assessments to show if the people’s weight was within a healthy band. The provider was able to demonstrate that a new care plan format that they intended to introduce provided a Body Mass Index (BMI) chart and screening tool.