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Inspection report

Date of Inspection: 24 January 2013
Date of Publication: 1 March 2013
Inspection Report published 1 March 2013 PDF | 89.93 KB

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 24 January 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.

We were supported on this inspection by an expert-by-experience. This is a person who has personal experience of using or caring for someone who uses this type of care service.

Our judgement

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

Reasons for our judgement

As part of our inspection we used an ‘expert by experience’ who helped to gather the views of people who used the service. Experts by experience are people with personal experience of these services as service users or family carers, and their findings have been included in this report. The people who used the service and their relatives were happy with the care they and/or their relative received.

One person's relative told us,“This is the third care home my X has been in, X was given notice to leave after just one week in the last one, because X was labelled as aggressive and too much trouble. Since X has been at Cherrytrees, their real needs have been met and their poor behaviour has stopped and X has settled in very well. The manager, strictly monitors X's care plan, to ensure my relative remains stable. I have only one word to describe the level of care my X receives, and that is, fantastic.”

We spoke with people who used the service and three people’s relatives who made the following comments, “We are well looked after here and I am happy”, “There is always someone around and about to give you a hand”, “You couldn’t wish for any better care anywhere” and “I am happy living here as I know I can’t live on my own anymore”, “The staff have smiley faces, and will do anything for me”. We observed that whilst in the communal sitting room, people had appropriate foot rests or pressure relieving cushions for protection.

The manager told us that people had their needs assessed prior to moving into the home to ensure the service could meet their needs. They told us that this assessment information and information gathered from other professionals, was developed over a three week period to enable them to develop people’s care and support plans. These included risk assessments, people’s wishes and preferences and included their social, cultural and religious preferences. This meant staff had the information they needed to be able to support people's needs.

We looked at the care records of five people. Each person had an individual file containing their care plan and other relevant supporting information. The care plans held information relating to people's medical, physical and social care needs along with guidance for staff on how they should provide the right level of care. A range of risk assessments had been completed to identify any areas of care which people may be vulnerable to the risk of harm. A daily record was kept of the care people received so that staff could monitor this.

Care plans and risk assessments had been reviewed on a monthly basis. We also saw evidence of reviews being carried out involving both the people who used the service and their relatives/representative.

Information on the care files showed that people who used the service had access to care and support from other health care professionals such as doctors, dieticians, social workers and specialist nurses. We saw that people received regular visits from opticians and chiropodists. We spoke with a visiting doctor who was satisfied with the information exchanged by the staff and they felt the staff carried out their instructions effectively.

We visited four people who were being nursed in bed and we looked at the documentation relating to staffs recording of food and fluid intake and positional change charts for three of these people. We found that records had been generally well completed and we saw evidence that, attention had been paid to oral care for these people. One person told us, “I am kept comfortable and the staff help me a lot.” One person’s relative told us, “They are all lovely here. They are looking after my X very well. I give them ten out of ten, X always looks clean and comfortable.”

We looked at the wound management for one person. The care plan gave clear guidance to staff in relation to the frequency and type of dressing to be used and also documented how the wound was healing. The record included input from the tissue vi