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Wythall Residential Home Requires improvement

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Inspection report

Date of Inspection: 7 November 2013
Date of Publication: 11 December 2013
Inspection Report published 11 December 2013 PDF | 77.72 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 November 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

We spoke with nine people who were using the service and two people's relatives. People told us that they were happy with how their care needs were being met whilst using the service. People using the service told us “The staff treat me very well. I am very comfortable living here.” A relative told us: “I feel reassured that my mother is well looked after here. I don’t worry at all.”

Assessments of people's care and support needs had been undertaken by senior staff prior to people using the service. Reassessments of people's needs were also undertaken prior to a person returning to the home following a hospital stay. This ensured that people's care needs could be met at the home.

We tracked the care of three people using the service. This helped us to understand their experiences of what it was like to stay there. We found that care plans and personal risk assessments had been written from the information collected at their assessment. These individual plans were written, wherever possible, with the involvement of people and their relatives. This meant that people received care and support in the way they preferred.

Care plans included details of what people could do for themselves and in what areas they required support. They included information about people's physical and mental health needs, social care needs and their preferences regarding their daily lives. Care plans included specific instructions for staff to follow in order to meet people's identified care needs. We spoke with staff and it was evident that they had a good understanding of people's current care needs.

People's diversity, values and human rights were respected. Staff supported people to maintain their personal hygiene needs. During our inspection, we saw that people were well groomed and smartly dressed. People were wearing clothing of their choice, and their lifestyles reflected their age and interests.

People had access to a range of health and social care professionals both within the community and those that visited the home. This included general practitioners, district nurses, dieticians, dentists and opticians. Records were kept of appointments or contact with health and social care professionals and we found that staff followed any instructions given by professionals. Should people become unwell, records identified that staff promptly sought medical advice. A person using the service told us “The staff are ever so good. They get the doctor or nurse to see me if I am not well.” Relatives told us that staff kept them informed about any matters regarding people using the service. A relative told us “Communication from the staff is very good.”

Risk assessments identified individual risks specific to people using the service and the staff who supported them. These included the risks associated with people's medical conditions and activities that they undertook. Assessments had been made regarding the risk of people developing sore skin and the risk of falling. Specialist equipment was provided, for example pressure relieving mattresses to prevent people developing sore skin.

People's nutritional and hydration needs were being met. Special diets were catered for, for reasons of health, religion and taste preferences. People had been weighed regularly and nutritional supplements had been prescribed and were being given to people as required. Nutritional risk assessments had been undertaken and staff, including kitchen staff had a good understanding of the outcomes of these.

We observed the support people received during their lunch time meal. This was given in a sensitive and unhurried manner. Staff took the time to explain to people the menu choices of the day. We observed friendly banter between people using the service and staff during the lunch time meal. Hot and cold drinks were regularly served throughout the day.

People told us that they were happy with the staff team that were supporting them. During our inspection, we saw that staff