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Liberty House Care Homes Limited Good

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Inspection report

Date of Inspection: 2 November 2013
Date of Publication: 28 November 2013
Inspection Report published 28 November 2013 PDF | 80.71 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 2 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 and talked with staff.

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

All staff we spoke with told us that they enjoyed their work. They used words such as "Good" and "Very good" to describe the care that the staff team provided to the people who lived there. One person who lived there said, “I am very well looked after and I would not want to live anywhere else”.

We found that people were treated with respect and dignity. All staff we spoke with gave us a good account of how they promoted privacy and dignity in everyday practice. One person who lived there told us, “The staff are not rude. They knock on my bedroom door before they go into my bedroom”.

We saw that people who lived there wore clothing that was appropriate for their age, gender and the weather. Staff we spoke with and records that we looked at both confirmed that the people who lived there were encouraged to select what they wanted to wear each day. We saw that people’s hair was trim and tidy. One person said, “I like my hair like this”. Written comments we looked at that had been made by a relative about the care of one person who lived there read, “They are always clean and tidy”. This meant that adequate steps had been taken by staff to ensure that people’s preferences and needs were met concerning their appearance.

The majority of the people who lived there had some contact with family or friends. Records we looked at confirmed that staff communicated with people’s families about important issues and their care. This meant that processes were in place to ensure that people were being cared for safely and in a way that they preferred.

We found that people’s needs had been assessed and their care and support had been delivered in line with their assessed needs. We looked at the records of four people who lived there. We found that generally records were reviewed and updated where needed to reflect people’s current needs. For the majority of people their care records highlighted what their needs were and how they should be managed. When we asked staff about the needs and care of individual people living there they all gave us a good account of what they had to do.

We found that staff referred people to external health care professionals for advice. These included specialist nurses, dieticians, dentists and opticians who had checked and assessed people’s health care needs in attempt to promote their wellbeing. This meant that steps were in place to ensure that people’s health was checked so that any underlying health needs could be identified and treated and illness prevented.

Our inspection was unannounced and started on a Saturday morning. When we arrived we saw that all of the people who lived there were already engaged in activities. One person was doing a big jigsaw. Another person was doing some cross stich. Records we looked at confirmed people's individual leisure interests. For example one person liked to listen to their music. During our inspection we saw that a staff member played some music for the person. When listening to the music we saw that the person looked happy and was relaxed. We saw that an allotment was in use within the garden. We saw photos of the fruit and vegetables that the people who lived there had harvested. One person who lived there said, “We all enjoy planting and growing the food”. We found that the people who lived there had opportunities to go on trips and activities outside of the home. A number of people had been on a weekend break to London in August 2013.One person said, “I really enjoyed going to London. It was great”. On the evening of our inspection all of the people who lived there were going bowling. One person told us, “We all like bowling”. All staff and people who lived there told us that a number of people attend day facilities. One person said, “I go to cross stich classes. It is really good”. It was clear from speaking to staff, the people who lived there and looking at records that the activity provision offered to people was very frequent and what they enjoyed. This