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Inspection report

Date of Inspection: 9 June 2014
Date of Publication: 5 July 2014
Inspection Report published 05 July 2014 PDF | 81.32 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 9 June 2014, observed how people were being cared for and talked with people who use the service. We talked with carers and / or family members and talked with staff.

Our judgement

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

Reasons for our judgement

We spoke with five of the people living in the home, one visitor and five relatives. People told us they were happy living in the home. One person told us, “I’m very satisfied, when I ring the buzzer staff come to help.” Another person told us they had moved to a larger bedroom which they liked as it meant they could accommodate more of their possessions.

All the relatives we spoke with were satisfied with the care and support their relatives received. One relative told us, “We are completely satisfied, she has improved physically since being there.” Another relative said, “They (the staff) are very welcoming, polite and friendly. They are very patient with him and very caring.”

Care and support was planned and delivered in a way that ensured people's safety and welfare. We looked at the care records for three people, spoke with three staff and observed the care provided to people. The care records reflected the care provided to people. This meant that the staff knew what people’s individual's needs were.

The care records showed that people's likes, dislikes and abilities had been determined, for example, their daily preferred routines, how they liked to spend their time and what they were able to do for themselves. The care records we looked at included detailed information about people's care and support needs. This ensured that staff knew how to support people. The staff spoken with had a good understanding of the content of the care records. This meant that people received care in the way they wanted.

People’s needs were regularly re-assessed and reviews held with the people concerned to discuss their care needs and if any changes were necessary. Any changes to the way care and support was to be provided had been documented. This meant people were consulted about their care needs on a regular basis.

People’s individual risks were identified and staff were given detailed information about how to keep people as safe as possible. For example, where people were at risk of skin damage there were details of the equipment to be used to avoid this happening. We saw this equipment being used ensuring the person was not put at risk. Other records gave detailed information of the specific moving and handling needs of people who were not fully mobile. These ensured people were moved safely. The staff we spoke with were able to tell us about people’s risks and how they minimised these. This ensured people’s needs were met safely.

Arrangements were in place to ensure people’s health care needs were met. We saw that staff asked health care professionals to visit people when necessary, for example, doctors, district nurses, opticians, chiropodists and dieticians. Records were kept of the outcomes of any health care appointments. This ensured staff were kept fully aware of people’s health care needs.

Three of the people we spoke with were happy with how they spent their days. Two people told us they did get bored. They said there was little to do except watch television. We saw written records and photographs that showed there were activities for people to take part in if they wished. These included, quizzes, exercise, food tasting days for international foods, reminiscence sessions and films. People went out to local shops and churches if they wished and there were occasional trips further afield. There were also visits from outside entertainers. We saw that some people preferred to spend time in their rooms watching their own televisions, reading or just spending time quietly in private. We spoke to the manager about the activities on offer as people had mixed views about these. We were told people were all offered the opportunity to take part in activities. It was not always possible to determine the full range of activities people had been offered as refusals were not recorded. The manager was to address this and activities were to be discussed further with people to ensure that people were satisfied with the range on off