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Archived: Michael House

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Inspection report

Date of Inspection: 24 January 2012
Date of Publication: 2 March 2012
Inspection Report published 2 March 2012 PDF

People should be treated with respect, involved in discussions about their care and treatment and able to influence how the service is run (outcome 1)

Meeting this standard

We checked that people who use this service

  • Understand the care, treatment and support choices available to them.
  • Can express their views, so far as they are able to do so, and are involved in making decisions about their care, treatment and support.
  • Have their privacy, dignity and independence respected.
  • Have their views and experiences taken into account in the way the service is provided and delivered.

How this check was done

Our judgement

People who use this service are supported to make decisions about their care and are involved in decisions about the service. They are treated with dignity and respect.

Overall, we found that Michael House was meeting this essential standard.

User experience

During our visit people told us they were involved in their care at Michael House. They told us they had been kept informed of the changes that had taken place the home. People we spoke to were looking forward to the other changes that were due to take place. One person was still a little confused about how things “would work out”.

People we spoke with knew the staff well and told us that this meant they would be able to appoint their own personal assistant from staff they knew and trusted.

One person told us about their essential lifestyle plan that they had recently written with the support of a member of staff. An essential lifestyle plan identifies what is important to a person and identifies the support the person requires.

One person showed us around their flat and told us about choosing and ordering their own furniture. Another person told us how they had been able to change flats when one they preferred had become available.

People told us that they were given a menu each week to allow them to choose their meals. One person told us that they were planning to go out that evening so the chef had arranged an early meal for them. “They are accommodating and change times if need be.”

People we spoke to explained how staff maintain their privacy whilst helping with personal care. One person told us “They keep things very private.”

Minutes of residents’ meetings were available and showed that these meetings took place every month. Everybody who attended was able to raise issues and it was also a means of sharing information. We were told, “People can say about things they would like to change.”

All the people we spoke to told us about the activities they took part in. These included for example archery, swimming, crafts, and computing. One person told us about their voluntary work in a shop and for a local business they said they had plenty of choice “I just get on and do it.” On the day of our visit a number of people had gathered to take part in a pamper session being held by one of the staff in a communal area.

Other evidence

During our visit we were made aware of changes that had started to take place at Michael House as part of the restructuring of the whole service known as Enham. One of the aims was to give people more choice about how their care was delivered. Staff would be known as personal assistants (PAs) and they would provide a personal profile, explaining their likes, dislikes and particular interests. People would then be able to choose their own PA to assist with personal care, activities, community interests and voluntary work or to apply for paid employment. Staff would be available to become PAs to people in any of the three houses which are on the Enham site. Staff told us how they had spent time with people to help them choose their PAs.

Some of the residents of Enham were part of the partnership board. These people had attended meetings regarding the changes to the management and running of the service. They had then fed back any information to other residents.

During our visit we observed staff encouraging people to be as independent as possible. We saw people being supported during lunch where a number of people had specialist aids to enable then to eat independently.

During our visit we also looked at three support plans which showed that each person had a six monthly review of their support. The reviews were signed by the people involved and their relative or advocate if relevant.

Details of the local advocacy service, were advertised on the notice board. This service helps people speak out to get their views heard. Many of the posters around the house, for example fire evacuation procedures and access to advocacy services, were in an easy read format. A leaflet on Enham vision, mission and values 2010 -2013 was also available for people in an easy read format. This enabled all people to access the information.

Photographs of the staff on duty for the week were displayed on a notice board in the dining room. This made people aware of which staff they would see that day.