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Temple Grove Care Home Outstanding

All reports

Inspection report

Date of Inspection: 13 January 2014
Date of Publication: 11 April 2014
Inspection Report published 11 April 2014 PDF

Overview

Inspection carried out on 13 January 2014

During an inspection in response to concerns

During the inspection we spoke with the manager, six care staff and nine people that used the service. Most people told us they liked living at the home. Comments included "I'm looked after well. Staff are pleasant", "There's nothing that isn't nice" and "Staff are helpful".

We found that people were given opportunities to express their views about the care and support they received. People had the opportunity to express their preferences although it was not always clear what action had been taken to accommodate them.

We found a number of concerns which related to the care and welfare of people who used the service. Care plans did not always have up to date information and did not have all the information required in order to meet people's assessed needs. We found that people were placed at risk because care plans were not always followed. There was an inconsistent approach to the management of people's complex needs which placed people at risk of harm.

People were not protected against the risks associated with medicines because the provider did not have appropriate arrangements in place to manage medicines safely. We found that controlled drugs were not managed appropriately. We also identified issues in relation to the timely receipt of medication and the monitoring and use of "as required" medicines.

Care staff told us that they felt supported and that they had opportunities to discuss any issues. We found that mandatory training was provided although not all staff had received specialist training in supporting people with complex health needs and end of life care. The provider told us that this had been arranged.

People were not protected from the risks of unsafe or inappropriate care and treatment because accurate and appropriate records were not always maintained. We identified concerns about the management of records in the service. Some care plans were found to be confusing and did not hold all the information needed to support people who used the service. We also found that a number of records that related to the management of the service were inaccurate or not available at the time of our inspection.