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Bartholamew Lodge Nursing Home Limited Good

All reports

Inspection report

Date of Inspection: 8 October 2013
Date of Publication: 5 November 2013
Inspection Report published 05 November 2013 PDF

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 8 October 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, talked with staff and reviewed information sent to us by other authorities.

Our judgement

Care and support was planned and delivered in a way that was intended to ensure people's safety and welfare.

Reasons for our judgement

We saw that people who lived there wore clothing that was appropriate for their age, gender and the weather. People told us that staff had encouraged them to select what they wanted to wear each day. One person said, “The staff ask me what I want to wear”. One relative said, “They always look nice. The staff know that they like to look nicely dressed and help them to do this”. People told us that a hairdresser visited every week and they liked to have their hair done. This meant that staff had known that it was important to people to look their best and they had supported them to do that.

We found that the majority of the people who lived there had on-going support and contact from their families. We found that people's family members had spoken on their behalf and had supported them in decision making where they were not able to do so themselves. Records we looked at, and relatives we spoke with, all confirmed that where appropriate, they had been involved in individual people’s care planning, or had been informed about what was in their care plans. This meant that processes were in place to ensure that people were being cared for in the way that they preferred.

Generally we found that people’s needs were assessed and their care and support was delivered in line with their individual care plan. We looked at the records of four people who lived there. Those records included, assessment of people’s needs and their care plans. We found that generally care plans and records were regularly reviewed and updated where needed so they reflected people’s current needs. For the majority of people their care records highlighted what their needs were and how they should be managed. However, the registered provider may wish to note that we found that some records had not been updated when it had been required and some required more detail. For example, one person’s records highlighted that they needed a prescribed medication if their condition became unstable. Another person’s care record lacked information about a chronic medical condition that could re-occur. By the end of our inspection the care plan that required updating had been updated to reflect how the person’s condition would currently be managed. The manager told us that they would ensure that the other person’s care records reflected all of their needs. When we asked care staff about the care they provided to people they all gave us a good account of people’s needs. This meant that although some care records were lacking information staff knew about people’s needs and risks and what they should do to meet people’s needs and keep them safe.

Records we sampled showed that, where needed, people were referred to external health care professionals for advice. These included; physiotherapists, the dietician, and occupational therapists who had assessed people’s health and abilities in an attempt to promote their wellbeing. People who lived there, staff, and relatives who we spoke with told us how much some people’s physical health and abilities had improved since they lived at the home. One person said, “I have felt much better since I have been here”. A staff member told us, “We cannot believe how much the people who come here for intermediate care improve. We have to use the hoist to move many people when they first come. They are able to walk again when they are discharged to their own homes. A relative of a person who lived there permanently said, “They have got so much better since they have been here. We are so pleased”.

We saw that people had regular check-ups with the dentist and optician. We found that some weight monitoring was undertaken on a regular basis, as were clinical observations which included blood sugar and blood pressure measuring to monitor people’s health. All people who lived there, staff, and relatives that we spoke with confirmed that when a need was highlighted, medical input was always secured straight away. We spoke with a doctor who had been