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Archived: Grimsargh House

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Inspection report

Date of Inspection: 15 August 2013
Date of Publication: 18 September 2013
Inspection Report published 18 September 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 15 August 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 staff and talked with commissioners of services.

Our judgement

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

Reasons for our judgement

We viewed care plans for three residents during our inspection. We found the care plans were extremely well organised, which made information easy to find. The format used for care planning was well detailed and clear and helped to ensure that staff addressed all areas of a resident’s care needs.

In all the care plans we viewed there was a detailed social history, which gave an insight into the resident’s important relationships, past employment, valued hobbies and personal wishes. Attention had been paid to ensure that people’s own views about their care and the way they wanted it to be provided were included.

People’s preferences in relation to areas such as personal care were well detailed in their plans. For example, whether they preferred baths or showers, what sort of toiletries they liked to use and preferred types of dress.

For people with dementia related care needs, there was some information about their personal experience of the condition and how it affected them on a day to day basis and impacted on their ability to communicate. However, the provider may wish to note that in some plans we viewed, this area could have been expanded on.

In all care plans, we found that there was a good level of information about people’s health care needs. We saw a number of good examples where staff had quickly identified changes in a resident’s wellbeing and sought medical advice quickly and effectively. For example, changes in one resident’s behaviour had quickly been noticed by staff, who had promptly requested medical advice. The changes in behaviour were found to be the result of an infection.

Care plans provided evidence that staff at the home worked well with other professionals, including medical professionals, community health care workers and social workers. We saw a number of examples of advice from external professionals being incorporated into people’s care plans by staff.

Evidence was available to demonstrate that any risks to a resident’s wellbeing, for example in relation to falling or developing pressure sores, were assessed. There were clear risk assessment processes in place, which provided clear guidance to staff in how to maintain people’s safety and wellbeing. In discussion, all staff were well aware of the individual needs of residents and the support they required.