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Beverley Grange Nursing Home Good

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Inspection report

Date of Inspection: 19 November 2013
Date of Publication: 24 December 2013
Inspection Report published 24 December 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 19 November 2013, observed how people were being cared for and talked with people who use the service. We talked with staff, talked with commissioners of services and talked with local groups of people in the community or voluntary sector.

Our judgement

Care and treatment was planned and delivered in a way that was intended to ensure people's safety and welfare.

Reasons for our judgement

Care and treatment was planned and delivered in a way that was intended to ensure people's safety and welfare.

We undertook this inspection to follow up on previous concerns. At the last visit to the home we found that care files did not include comprehensive information and did not include all of the necessary details. Records including monitoring forms were not always fully completed.

Since the last inspection we have liaised with the commissioners of the service and the local health and safety officer following concerns raised as to the use of equipment within the home. There is a separate investigation being undertaken by the Health and Safety officer and any recommendations from this will be dealt with under the appropriate legislation. Initial conclusions have identified inconsistencies in moving and handling care plans and are being addressed with the home.

People who lived in the home were positive in their responses regarding the home. Comments included “I think the home is well run and I am confident that if I raised any concern the manager would deal with it.” And “I am very happy with the support and everyone is kind and helpful.” People told us that staff were polite and knocked on the door before entering their room with one person stating “I am glad I came here.” And “I am very happy with the support and everyone is kind and helpful.”

At this visit we looked at the care files for several people, some of whom required nursing care in the meeting of their needs. We saw that new care plans had been developed for the majority of the people who lived in the home and we received assurance that the remaining care plans would all be updated within a two week period post this visit.

We saw that the new care plans were well organised and covered a variety of areas for each person. An admissions information sheet had been completed which recorded the persons past and present medical history, their reason for admission and personal details, for example, their next of kin. An admissions assessment had also been completed for a variety of areas of need which included communication, hygiene, moving and handling, tissue viability and social needs. This information had then been used to develop the persons’ plan of care. The information recorded provided advice to staff on how to support the person with their latest assessed needs.

Risk assessments had been completed to identify any areas of risk and the actions to be taken to support the person to live their life safely. We saw this included a moving and handling risk assessment and bed rails risk assessment. We saw that some care plans included the details of the moving and handling equipment to be used. However the provider may wish to note that this was not the case for all of the care plans reviewed.

There was evidence in people’s files that they received support from other professionals in the meeting of their health needs. These details included the GP, chiropodist, dietician and the falls team. Monitoring forms were in place to assist in meeting people’s health needs. We saw recorded that one person had been supported when they had recently fallen. The staff had taken appropriate action and liaised with the GP, they ensured that any changes had been recorded in the persons’ care plan.

Daily diary notes had been completed by the staff to record the support offered and daily activities of each person.

However the provider may wish to note that we saw that improvements continued to be required in order for people’s records to accurately and fully record all of the persons needs. For example, one person did not have a care plan regarding their diabetes, one person’s information had not been recorded on their risk assessment, details of one persons' hoist were not comprehensive and daily diary notes were not person centred.

The new care files included a section for a review of care every six months and we saw some evidence that the care plan had been review