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Inspection report

Date of Inspection: 9 March 2013
Date of Publication: 18 April 2013
Inspection Report published 18 April 2013 PDF | 92.72 KB

People should be treated with respect, involved in discussions about their care and treatment and able to influence how the service is run (outcome 1)

Meeting this standard

We checked that people who use this service

  • Understand the care, treatment and support choices available to them.
  • Can express their views, so far as they are able to do so, and are involved in making decisions about their care, treatment and support.
  • Have their privacy, dignity and independence respected.
  • Have their views and experiences taken into account in the way the service is provided and delivered.

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 9 March 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

People's dignity and independence were respected. People's views and experiences were taken into account in the way the service was provided and delivered in relation to their care.

Reasons for our judgement

We spoke with four people who lived at Langholme during our inspection to seek their views of the service they received. Comments made included “the staff are helpful and polite”, “there are things to do, sometimes I join in but I like to spend time quietly” and “the staff offer choices regarding the food, which is good, and I can choose where to eat it”.

We saw that people who lived at Langholme were offered choices regarding how they spent their day. We observed some people came to the dining room for their breakfast and were given a choice as to where they sat and what they ate. We saw one person did not eat their breakfast and staff offered them alternatives and encouraged them to eat their breakfast. One person told us they chose to eat their breakfast in their room or in bed. Another person told us they got up when they wanted to and also were offered assistance to bed at a time convenient to them.

We saw the main meal of the day was served at 12.30pm. A menu was displayed on each table. The main meal on the day of our inspection was coq au vin or pork casserole or salad with ham / egg / cheese / tuna or salmon. Staff told us that people chose what they wanted to eat at the lunchtime. We were told this was because they often changed their mind if asked prior to the meal time.

We looked at the care plans for three people who lived at Langholme. Care plans are a tool used to inform and direct staff about people’s health and social care needs.

We saw that the care plans showed individual preferences and choices. For example, the person’s preferred form of address and the person’s life histories and interests. We saw in all care plans we looked at, that people’s life histories and their social and leisure preferences were documented. It is important a person’s life history is gained so staff can understand a person’s past and how it can impact on who they are today.

Two of the care plans we looked at had been signed by a relative but the registered provider may wish to note that one did not evidence the person and / or their relative had been involved in the development of their care plan.

We saw people’s bedrooms were personalised with pictures and furnishings. The activities coordinator had encouraged people to design a name plate for their door which included a picture of their interests. For example, one person had a picture of a television and another of knitting. This helped people to locate their room.

We saw that staff respected people’s privacy and dignity by knocking prior to entering toilets, bathrooms and people’s bedrooms. We saw one bedroom had a sign on the door that indicated the person was hard of hearing and would not hear staff knocking, so advised staff to enter. This showed that people’s individual care needs were met.