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Inspection report

Date of Inspection: 25 November 2013
Date of Publication: 11 December 2013
Inspection Report published 11 December 2013 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

We looked at the personal care or treatment records of people who use the service, carried out a visit on 25 November 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 carers and / or family members and talked with staff.

Our judgement

People’s privacy, 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

Monthly meetings were held between staff and people living at the home. We looked at records of these meetings and they demonstrated that the wishes of people were listened to and acted upon. Examples included the provision of holidays, new meal choices, activities and cleaning of the property. Staff confirmed that they gathered feedback from people who used the service which ensured that people's views were expressed and they were involved in making decisions about their care and treatment.

Staff we spoke with told us that the provision of care at the service was developed around the individual choices of people living there. This also included people's choices about the range of activities offered in the home and accessed in the community, such as attendance at church and support groups. People were supported to attend activities in the community which included going to day centres and visiting the bank and local cafes.

We looked at three care plans that had been developed for each individual. The care plans were written in the first person and evidenced how people liked to spend their time and how they liked to be supported. The care plans also included how people liked to be referred to and evidenced people's wishes including what times they liked to get up and go to bed. The manager confirmed that people were involved from the beginning which ensured that the care plans met their needs.

People confirmed that the manager spoke with them daily to ensure their care needs were met and they were able to review and change their care plans at any time. Care plans were reviewed with people monthly. People confirmed that staff asked their opinions about their care and they felt confident that they could change anything they wanted. One person told us that "I can read my care plan when I want and the staff ask me what I want to put in it".

During the inspection we saw that people were being spoken with and supported in a sensitive and respectful manner. When we spoke with staff they confirmed that they promoted independence and encouraged people to do as much as possible for themselves.

We saw that staff interacted well with people when they were supporting them. We saw that staff were knowledgeable about people's needs and preferences. We found staff were respectful and maintained people's dignity, privacy and independence. For example staff knocked on people's door before entering and they checked on how they wanted their care to be provided before doing so. There were boards in the communal areas of the service that explained what people using the service should expect and how they should be treated.

All doors to people's rooms were kept open to ensure people with mobility difficulties could move freely through the house. We saw that staff kept doors shut when delivering personal care and talked to people throughout, updating them on what they are doing.