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Inspection report

Date of Inspection: 10 May 2011
Date of Publication: 9 June 2011
Inspection Report published 9 June 2011 PDF

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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 have an input into the routines of their day. When people are not able to give consent, there is a record of how their preferences or wishes are to be taken into account. There is good liaison with other agencies and professionals to ensure changes are in the person’s best interest, with any relevant consent.

User experience

We talked with people who reside at Trewartha, and a visitor, and asked them if the service meets their preferences and choices. People told us they were happy there and were able to make choices. People told us they could raise concerns to staff or the manager if the need ever arose. We observed that privacy and dignity were respected during our visit and no issues were raised by people using the service or staff. We observed people moving around the home with no restrictions.

A representative of the Department of Adult Care and Support (DACS) confirmed that there were no current concerns.

Other evidence

Trewartha has policies and procedures in place covering dignity and human rights, equality and choice which are reviewed at least annually, more often if required.

We were told people have their needs assessed prior to moving into the service, and this is supported by the care records seen. This is so that the service can ensure that they are able to meet individual care needs.

People are provided with information to enable them to discuss their care, treatment and support options and make informed choices. Risks are assessed, recorded, and action taken to minimise them whilst recognising the individuals’ right to take informed risks, and is concluded in the care records with a ‘Risk Management Overview’. The care records show liaison with other agencies to ensure the persons’ best interests are served. A visitor to the home confirmed that people’s preferences and wishes are taken into account and this is supported by the care records. The registered manager told us that people and/or their relatives are involved in determining their care, and this is recorded in care plans. A visitor confirmed that they felt they were fully informed about their relatives’ care.

People are provided with information about the service, including how to make a complaint, fees, confidentiality policy, and local resources. This information is available in large print. We discussed other options for providing information (e.g. audio/visual). Things that are important to people are ascertained and recorded.

There are clear policies and procedures, and these are accessible to staff. Training is given on dignity and respect, which covers enabling people to make choices and decisions themselves. The registered manager told us that all new staff are informed of policies and procedures, undertake the Skills for Care training, and are fully informed of the importance of confidentiality. Great emphasis is also placed on the understanding of patient choice, equality and human rights. Staff records show that the services’ policies and procedures are covered at induction for new staff.

A key worker system is used, which means that the senior staff are each responsible for the care of a small group of the people living at Trewartha. Periodically, the groups are rotated amongst the senior staff so that they have a good knowledge of all the people living there.

Minutes are available of past ‘residents meetings’ and staff meetings. Opportunity to make comments or complaints is given at these meetings, and in day-to-day contact with staff and the registered manager.

Staff were observed to interact with the people living at Trewartha in a pleasant, professional, and adult manner. They explained where necessary, and were heard to offer choices relevant to the activity being carried out at the time. Staff were seen to have meaningful conversations with people. The people and staff we saw were unhurried and relaxed, and this reflected the overall atmosphere at the home.

Breakfast was seen to be served throughout the morning. We saw that there was a good choice of food on the menus.