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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 | 139.03 KB

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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 reviewed all the information we hold about this provider, carried out a visit on 10/05/2011, checked the provider's records, observed how people were being cared for, talked to staff and talked to people who use services.

Our judgement

People using the service experience effective, safe, and appropriate care, treatment and support that meet their needs. Records show there is an accurate means of identifying if people have received appropriate care. The service demonstrates the efforts made to ensure that people’s choices and preferences are supported, but does not always show people’s involvement in their care.

User experience

People told us the staff were supportive, and friendly. People living at Trewartha, and a visitor to the home, had no complaints regarding the care provided by the service, and were complimentary of all the staff. People said they can get up and go to bed when they wish, our observations, and the care records reflect this and other day-to-day choices made.

Other evidence

Trewartha completes a pre-admission assessment prior to any admission. A care plan is developed, and these are reviewed at least monthly or more frequently should the needs of people change. The involvement of people (or their representative) in their own care is not always shown in the care records. Those seen were not signed by the individual, or their representative. Discussions with staff confirmed that those selected and seen could have been signed as the people do have capacity. However, one person confirmed that they determine their own lifestyle and activities, and a visitor confirmed that they were kept well informed.

Care plans are detailed to allow desired outcomes to be met, and identify risk and any appropriate action needed to minimise risk. The care plans identified equipment to be used to aid moving and handling and promote skin integrity by relieving pressure. The service consults relevant professionals to ensure people’s wellbeing is maintained. Risk assessments assist staff to ensure support is given in the manner the individual wishes. All accidents and incidents are reviewed annually and the findings are displayed within the home.

The registered manager described some of the activities and efforts made to ensure that people can participate in activities and events of their choice. The home made great efforts to make the recent royal wedding a celebration for all: pink-champagne breakfasts, and staff dressed up. There are photographs of past times displayed on the walls of the lounge areas. The home has a new minibus, three (3) staff drivers (with two more being trained), and the registered manager said that it was their aim to get the bus out on trips every day during the summer months. We were told that a gardening club was starting up in the next week or so.

Bedrooms are identified with names and photographs, and bathrooms and toilets are clearly signed. We discussed the options for making the signage clearer, and more personal, such as the use of colour to indicate function.