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Inspection report

Date of Inspection: 24 January 2012
Date of Publication: 13 February 2012
Inspection Report published 13 February 2012 PDF | 47.73 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 reviewed all the information we hold about this provider and carried out a visit on 24/01/2012.

Our judgement

The needs of people using the service and any risks to them are fully assessed to

ensure that safe and appropriate care is provided.

However the allocation of administration days or hours for staff to update and organise reviews would benefit everyone who uses the service.

User experience

We did not speak to people about this outcome area on this occasion, or have the

opportunity to observe it, so cannot report what people using the service said, or our


Other evidence

The people who use the service at Tall Trees are provided with safe and appropriate care. The care packages are designed initially from assessments undertaken prior to the person moving into the service.

The service then collates all relevant information required and makes decisions based on people's choices and risk assessments. The additional information is then used by the staff at the service to develop and review individuals care plans.

The care plans we saw during our visit, included, admission details and initial assessments, a health action plan covering health needs and records, individual and general risk assessments, communication and behavioural plans, and a person centred plan of care.

It was however noted that the care plans were in different formats, and the information they contained showed some signs of review. We were informed by a member of staff that the staff team and manager do not have allotted time for reviews and updates. It would benefit the service and the people who use the service if administration work was factored into the daily work schedule of the manager and staff. This would ensure that all documents pertaining to the service e and the people who use the service are updated and reviewed at acceptable intervals. The provider has developed a set of policies and procedures to ensue that the health care needs of the people who us the service are being met.

All the people who use this service are registered with a local GP and other health care professionals.

Records of GP and other health care professionals' appointments, consultations and visits are included in care and health action plans.

We saw that the home has a set of emergency procedures and policies to provide guidance and support to staff in the cases of, fire, medical emergencies, hospital admission, electricity power cuts and accidents.