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Inspection report

Date of Inspection: 20 May 2014
Date of Publication: 3 July 2014
Inspection Report published 03 July 2014 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

We looked at the personal care or treatment records of people who use the service, carried out a visit on 20 May 2014, observed how people were being cared for and checked how people were cared for at each stage of their treatment and care. We talked with people who use the service, talked with carers and / or family members, talked with staff and reviewed information given to us by the provider.

Our judgement

People’s privacy, dignity and independence were respected.

Reasons for our judgement

During our visit all interactions we saw between the staff and the people who lived at the home were respectful. Support was offered and provided in a way that ensured people's rights to privacy and dignity. People were spoken with in a sensitive, respectful and professional manner. We saw that personal care was carried out in private and staff always knocked and awaited permission before entering people's private rooms. In our observations of interactions between staff and people who lived at the home, we saw people were respected.

Care plans had been developed for each of the people who lived at the home. We saw that the deputy manager was in the process of rewriting all the care plans to make them more person centred and detailed. During our visit we looked at the care plans for four people who used the service. Staff told us that the care plans had been discussed with the people who used the service, or their relatives, as appropriate. The care plans contained information regarding people’s likes and dislikes in relation to food and daily routines. For example, we saw that staff had recorded people’s preferred bedtimes and whether people liked to have an evening drink. We saw that relatives had helped to complete the social history and personal preferences. This meant that care and support were provided as people wanted.We saw staff took their lead from the people at the home which made it possible for them to make choices. People expressed their views and were encouraged to make decisions. We saw that people were encouraged to express their views by talking directly to the staff. We observed people being asked what they wanted to do.

Staff we spoke with demonstrated a good understanding of people's rights to make their own decisions. They gave examples of how they supported people to remain as independent as possible and were clear on the importance of doing things the way people wanted things done. For example we were told that people were encouraged to make choices regarding the clothes they wore. We saw that people were able to move freely about the home.

We saw that people chose where they sat to eat their lunch. Several people chose to eat in the lounge. People were free to change their mind during the meal and staff were readily available to assist people to carry their food if they changed seats. People told us “It’s my choice where I sit” and “If I don’t like the food, I can have something else”. This demonstrated that the people who used the service were able to make choices. People were supported in promoting their independence.

We were told that people were given choices in line with their capacity to make decisions. For example people were asked if they wanted a drink and if they needed any assistance. This meant that people expressed their views and were involved in making decisions about their care and treatment. People told us “They always ask me what I want to do”.