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Inspection report

Date of Inspection: 5 February 2013
Date of Publication: 27 February 2013
Inspection Report published 27 February 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 5 February 2013, observed how people were being cared for and talked with people who use the service. We talked with staff.

Our judgement

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

Reasons for our judgement

During our visit we spoke with four people who use the service and looked at the care and support records for four people.

People’s needs were assessed and care and treatment was planned and delivered in line with their individual care plan. All the records contained support plans and risk assessments for various aspects of the person’s care and support. The records contained comprehensive, up-to-date information about people’s health and social care needs. Each person had ‘support guidelines’ which staff told us was a working document and was constantly changing in line with people’s care and support needs. All records were person centred and showed that the person they related to had been involved in the planning and review of their support.

There was a list displayed in the staff office of the dates scheduled for each person’s review of care. There was evidence that regular reviews took place to ensure that people continued to receive appropriate care, treatment and support. Three of the people we spoke with told us that they had a discussion with staff each month about their care and support, what they had done and if they needed to make changes to their support plan. One person told us: “We have meetings once a month.” We saw in the record of one monthly update where a person had decided how and when they would like to take their PRN (when required) medication. We looked at their medication administration record which confirmed that the change had been implemented.

Care and treatment was planned and delivered in a way that was intended to ensure people’s safety and welfare. Care records contained details of people’s health needs which included a health action plan. The involvement of all health care professionals was recorded. A number of people had an essential lifestyle plan, although some people had declined to produce one. This document recorded how they would like to be supported and the things that were important to them, now and for the future.

We spoke with eight members of staff who demonstrated a good understanding of people’s needs. Staff told us that any changes in people’s needs were discussed at the shift handover. One of the personal assistants told us: “We share information at handover and keep diary notes updated so other staff know if there are any changes.”

The home employed core staff to provide personal care for people living in the home. Other support needs were met by personal assistants. People had chosen their own personal assistants. Personal assistants provided support for activities such as cleaning and washing. They were also supported people to access activities in the community and in some cases to carry out voluntary or paid employment.