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Inspection report

Date of Inspection: 28 May 2013
Date of Publication: 4 July 2013
Inspection Report published 04 July 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 28 May 2013, checked how people were cared for at each stage of their treatment and care and spoke with one or more advocates for people who use services. We talked with people who use the service, talked with carers and / or family members and talked with staff.

We used the Short Observational Framework for Inspection (SOFI). SOFI is a specific way of observing care to help us understand the experience of people who could not talk with us.

Our judgement

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

Reasons for our judgement

Peoples' needs were assessed and care and treatment was planned and delivered in line with their individual care plan. People, who could, told us they liked living at the home. One person told us, “I like living here there is lots to do. All the staff are wonderful”. A relative told us, “The staff go the extra mile here and they work hard to include families and friends. I can visit my relative at any time and they always seem happy here”.

We used our SOFI 2 (Short Observational Framework for Inspection) tool. The SOFI 2 tool allowed us to spend time watching how staff and people who use the service interacted and helped us record how people spent their time and whether they had positive experiences. This included looking at the support that was given to them by the staff. We looked at four care plans all of which were person centred, well recorded and contained clear instructions as to the care needs of the individual. There was evidence that people had an initial assessment along with several visits before being accepted into the home and where a risk had been identified an assessment of the risk with plans to minimise it were clearly recorded. For example, for people who may display behaviours that challenge, there were clear guidelines and behaviour plans along with regularly updated risk assessments. This included identified triggers to behaviours and how to provide support sensitively and positively to reduce risk. There was documented evidence that the home regularly sought advice and worked closely with different professions within the local learning disabilities team, whilst they followed any recommendations or guidelines given. This meant that the manager was able to ensure the safety and welfare of the people who use the service.

Whilst observing the lunchtime meal we saw that people ate at their own pace and were not rushed. We saw positive staff interactions with people who used the service and the staff knew the people well. People were seen being appropriately aided to walk and sit down. People had a laugh and joke and there was a pleasant relaxed atmosphere. Staff were knowledgeable about how to support each person in ways that were right for

them. The staff spoken with on the day of the visit were able to discuss the needs of people using the service and ways in which individuals were supported. This meant that the provider planned and delivered care, treatment and support that ensured people were safe, their welfare was protected and their individual needs were met.