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Archived: Ayrshire House Good

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Inspection report

Date of Inspection: 11 February 2013
Date of Publication: 28 February 2013
Inspection Report published 28 February 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 11 February 2013 and talked with staff.

Our judgement

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

Reasons for our judgement

Following our last inspection in November 2012 we set a compliance action because there were moderate concerns that people who used the service did not have detailed care plans in place. People were at risk of not receiving the care and treatment they required.

We checked to see if the provider had carried out the required actions. We looked at three people's care plan records. A care plan is a document which details people's assessed social and health care needs and informs staff how to meet those needs.

We saw the provider had developed and was using new care plan documentation. The care plans we saw clearly recorded people's assessed needs and advised staff how to support people to have their individual needs met.

People’s needs were assessed and care and treatment was planned and delivered in line with their individual care plan. The support plans we looked at showed people’s needs were assessed in a way that reflected their strengths, abilities and interests. This meant that staff had a person-centred approach to the assessment of people’s needs and to the way people were supported.

The care plan records we viewed also showed how people were supported to maintain their independence. For example, if a person was independent with any aspect of their personal care, this was recorded with sufficient information for staff should this person require assistance.

We saw care plans were reviewed yearly or earlier if required. This meant there were systems in place to ensure care plan records were up to date and reflective of peoples needs. It also demonstrated care and treatment was planned and delivered in a way that was intended to ensure people’s safety and welfare.

The provider may find it useful to note that the care plan records we viewed did not include a signature of the person and/or their representative. The registered manager told us that they had included the person in the development of the care plan. However, there were no signatures to demonstrate the person and/or their relative is in full agreement with the care plan.

People’s care and support reflected relevant research and guidance. We saw in people’s care plan documentation there was information advising staff of the person’s diagnosed health needs. For example, we saw information about diabetes in one person’s care plan information. The information guidance provided enabled staff to develop their knowledge and understanding about the various health needs specific for the people they supported.