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Honiton Manor Nursing Home Good

All reports

Inspection report

Date of Inspection: 14 July 2011
Date of Publication: 9 August 2011
Inspection Report published 9 August 2011 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

Our judgement

Good quality assessments and a thorough understanding of people's physical and mental well-being means that the people living at Honiton Manor are well cared for.

User experience

We spent time observing how people were cared for and looked in all the rooms in the home which were clean and tidy. We found that everyone using the service was well cared for and having their needs met. There was a calm atmosphere at the home and a good staff presence. Staff were assisting people and answering calls for assistance in a timely way. We saw that the reception area had staff easily available when relatives arrived and we spoke to one relative who said that ‘I would never fault them on care, it’s marvellous’ adding that ‘the staff are a lovely lot here’.

We saw that people using the service were able to spend time as they chose. Some people were enjoying a quiz in the lounge which has been newly designed to allow for more intimate areas for socialising and relaxing and an area allowing for group activities or watching television. People told us that their opinion had been sought and they told us that it was a much better use of the space so that the television was not the focus.

Some people were relaxing in their rooms and we saw that staff popped in and out regularly to check that they were happy or to ask them if they would like a drink or cake at coffee time. Some people using the service find it difficult to use their call bell due to mobility restrictions and although staff did go in and out to check on them there was no checking system to ensure that this was regular. Some care plans described people as needing “hourly checks” no evidence was seen of these checks being recorded. However, one person who mainly stays in their room said that they had everything they needed.

Other people were having a lie down as they wished or being assisted to wash. The owners were present at the home as an addition to staff on the rota and they were spending time with people, chatting to relatives and later having lunch with one person who was enjoying their meal outside under the gazebo.

We saw that staff were able to spend time with people using the service to ensure that they’re needs were met in a person centred way. We heard how people were not rushed when staff assisted them, they were asked about how they wanted their furniture positioned, what they wanted to drink and each person had easy access to a drink. We did not see pressure mats being used inappropriately and those used had been discussed with the person and multidisciplinary team to ensure that peoples’ freedom was not compromised.

We looked at four plans of care in detail. We saw that each person living at the service has a plan of care which identifies their needs and how they are to be met. This included how people communicate, express their needs and thinking and deciding. One example being ‘I need my spectacles on and sometimes I can give an unrealistic report of my abilities’.

In each room is a “carers plan” which gives good detailed information on all care required by the individual. For instance details how people liked to be washed, whether they use soap or just water etc or perfume. There is a clear key-worker allocation where staff are matched with someone using the service at the home. This meant that one named staff member would spend time with them, tidy up, maintain their clothes labels and be available if they needed anything specific. People told us that they knew about this system.

Care plans showed clear risk assessments such as those for falls including action and prevention and for preventative pressure area care. There were also updates when care needs had changed and detailed daily records showing how care had been delivered which related to the needs assessment.

We saw how the staff had cared for someone whose health had deteriorated rapidly and that pressure area care had been addressed and appropriate equipment used. Staff were able to tell us how that person had liked to be helped to sit in their chair or liked to lie on a particular side.

There were good risk assessments relating to nutritional needs

Other evidence

The care plans contained information written by district nurses or doctors when they visited which helps to ensure staff at the home are clear about what had been discussed or treatment undertaken.