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Inspection report

Date of Inspection: 22 January 2014
Date of Publication: 22 March 2014
Inspection Report published 22 March 2014 PDF

Overview

Inspection carried out on 22 January 2014

During a routine inspection

A number of people who use the service had advanced dementia and were not able to verbally communicate with us, or had very limited ability to do so. Therefore we spent time looking at care records and talking to representatives of people who use the service. We talked to staff and observed interactions with the people using the service to determine how their needs were being met and to understand their individual experience of the service.

The people who use the service who could communicate with us told us that they were well looked after and that the staff were very caring and understood their needs well. Representatives of people who use the service told that the home was always clean and tidy and that they could visit their relative at any time. One representative told us that they visited their relative several times a week and that the provider always made them feel welcome. One representative told us �my relative is well cared for and is very happy�.

We looked at the care records of seven people using the service. We found the records to contain details about the person�s likes and dislikes, their personal and medical history and next of kin. However we found that the assessments and reviews were inconsistently completed and did not include appropriate information in relation to the care and treatment being provided to people using the service.

The staff we spoke with had a good understanding of adult safeguarding and understood their role and responsibilities in the safeguarding of adults at risk of harm. The staff we spoke with knew how to raise concerns and how to reduce risk of harm occurring.

On the day of our inspection we found there to be sufficient number of staff on duty. We found the staff to be supportive and caring of all of the people and they had a good understanding of their care and support needs. We observed the staff and their interaction with people and saw them arranged activities to suit each person�s needs. Staff had received the appropriate training to support the people, many of who could not verbally communicate their wishes.

We spoke with representatives of people who use the service and they were satisfied with the care being provided to their relatives. One representative told us �the staff are very approachable and know how to care for people with dementia�. Another representative told us �my relative can be very challenging and repetitive and the staff deal with it very well�.

All of the areas of the home that we looked at were clean and tidy. The kitchen was well organised and medication was secure. The representatives we spoke with all said that the home was always kept clean and tidy. One representative complimented the housekeepers saying �the rooms are always kept lovely and clean�