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Archived: Holmwood Residential Home

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Inspection report

Date of Inspection: 4 November 2013
Date of Publication: 28 November 2013
Inspection Report published 28 November 2013 PDF | 79.31 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 4 November 2013, observed how people were being cared for and talked with people who use the service. We talked with carers and / or family members and talked with staff.

Our judgement

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

Reasons for our judgement

People who used the residential service told us that they were happy living in the service. One person said, "I find it is very pleasant." Another person said, "Everything is good, I can't find anything wrong." Another person said, "I am happy here, I am quite comfortable."

We looked at the care records of five people who used the residential service and found their needs were assessed and care and treatment was planned and delivered in line with their individual care plan. People's care plans included information about the care and support provided to people. This included support with their personal care needs, mobility, behaviours and medication. The records identified people's diverse needs and how they were met and the areas of their care that people could attend to independently. The records advised staff to ensure that people's dignity was respected at all times.

Care and treatment was planned and delivered in a way that was intended to ensure people’s safety and welfare. We saw that risk assessments were included in people's records which identified how the risks in their care and support were minimised. These included risks associated with pressure area care and prevention and moving and handling.

Daily records identified the care and support that people had been provided with on each shift, their wellbeing and the activities that they had participated in. Where issues with people’s wellbeing were identified support and guidance was sought from health care professionals. Where people had been treated by health care professionals the outcomes were clearly recorded in their care records. This told us that people’s health care needs were identified and actions taken to ensure that they were met.

We saw the activity programme in the residential service which showed that people were provided with the opportunity to participate in activities which interested them. These activities included armchair exercises, Holy Communion and games. We saw pieces of art work that people had done that were displayed in the service. The registered manager told us that the service had recently held an art exhibition to show this art work.

People told us that they were provided with enough to do. One person said, "I am never bored." Another person said, "There is just enough, us old ones need time to relax and we like to talk to each other." Another person said, "When they don't have anything on we always find something to do, look around, some talk to each other, knitting, reading, lots to keep us occupied." Another person said, "I can go out if I want to, we are lucky we have a lovely garden."

During our inspection we saw people sitting outside on a bench, reading books and newspapers, talking to each other and entertaining their guests.

People who used the domiciliary care service told us that they were happy with the service they were provided with. One person said, "I am very happy with my carer and they come bang on time." Another said, "I am happy, they are wonderful, they are very very kind and always here on time which is wonderful."

We looked at the care records of three people who used the domiciliary care service which explained people's needs and how they were met. This included in areas such as their mobility and personal care. There were risk assessments in place which identified how the risks in people's care were minimised, such as when supporting people with their mobility. There were also risk assessments in place which identified how the risks in people's home environment were minimised.