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Bernhard Baron Cottage Homes Good

All reports

Inspection report

Date of Inspection: 8 February 2012
Date of Publication: 8 March 2012
Inspection Report published 8 March 2012 PDF

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

Our judgement

People who used the service can be assured that their privacy and dignity was respected.

Care plans and risk assessments were person centred. Whilst Mental Capacity Act

2005 and best interest assessments had not been completed, significant progress is

being made to ensure they are in place, where required.

Overall, we found that Overall, we found that Bernhard Baron Cottage homes was meeting this essential standard but, to maintain this, we have suggested that some improvements are made.

User experience

People who used the service told us that they receive care in a way that was respectful

of their privacy and dignity.

When we asked people about their care plans and reviews, we were told that they are

involved as much or as little as they like.

We were told that people have established a 'Residents Forum' in order to have their views taken into account in the way the service is delivered.

Other evidence

We looked at a sample of six care files (which included care plans) and found that

these covered all areas of physical needs and had associated risk assessments

in place; these were person centred and clearly recorded the needs and wishes of the

people who used the service.

Care files included documentation relating to the use of specialist services; such as the

physiotherapist, speech and language therapist, evidence of reviews and updates. We saw that people living in the home were directly involved in the assessment process and their individual care planning. It was noted that needs assessments were agreed and signed by the person and a member of staff.

From the care files that we looked at, we saw that the two stage Mental Capacity Act

2005 (MCA) and best interest assessments had not been carried out for people who may lack capacity to make decisions about their care.

Discussions with the management team told us that, staff training in this area had been

arranged. The registered manager and care manger knew who to contact to gain further information and guidance about MCA and best interest assessments.

We saw staff encourage and support people to exercise choice and control when

making everyday decisions. We observed the care given by staff and found that this was a positive experience for people.

We observed staff talking to people who used the service and giving consideration to their personal needs and wishes. Staff showed a clear interest in the person, asking after their welfare and reassuring them when needed; both in the main building and those who live in a cottage. We saw that appropriate care plans and risk assessments, such as such; washing, dressing, laundry, shopping, cooking and cleaning, were in place to support this.

From the care files sampled we saw that new people, were admitted following a needs assessment, completed by one of the care managers or their deputy's. Once the assessment had been completed the prospective person lives in the home for up to four weeks. During this time, an ongoing assessment process is completed, to see if their expectations were being met and that the service can provide for their needs.

We saw that there was an information board for people who used the service, which

gave details of how to contact an advocacy service for advice and support.

The service had an equality and diversity policy in place. We saw from care files viewed

that people's needs and wishes were recorded. The records of activities that people

took part in, showed us that people were supported to practice their religious beliefs.