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

Reasons for our judgement

During our visit we observed the interactions between people in the lounge and staff, this included observation of some of the lunch routine. We saw that people who lived at the home received care and support in a calm and relaxed manner. We observed that staff were able to spend time and interact with people in a positive way.

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 four care plans of the people who used the service. The care plans we looked at were well written, detailed and person centred. They contained a personal and social history for the people who lived at the home. We saw that the care plans were based on comprehensive needs assessments. People’s care and support needs were documented and the care plans gave clear and specific guidelines to the staff who delivered the care. We saw that the service had obtained detail of the care needed, together with instructions for staff on how the care should be provided. These records were up to date and contained evidence of review. This meant that people’s needs were assessed and care and treatment was planned and delivered in line with their individual care plan.

Records showed that people were supported by a range of health care professionals including GPs and District Nurses. A visiting GP told us that were happy with the service.

Risk assessments were included in the care plans. Risk assessments included: risk of skin breakdown, nutrition screening, mobility assessments and risk of falls. Any risks identified during the assessment had been addressed and detailed in the care plan. For example risk assessments were in place to identify the risks of falls. This gave guidance for staff to follow in order to manage people’s needs. We saw that these risk assessments were updated following any incidents. Care and treatment was planned and delivered in a way that ensured people’s safety and welfare. People told us that they felt safe at the home, “The building is nice and secure” and “They check who people are before letting them in”.

Daily notes were recorded about the people who lived at the home. The records seen gave a clear picture of the care people had received and showed that people’s care was delivered in line with their care plans.

Staff we spoke with were aware of the individual needs of each person who lived at the home. Staff could describe people’s care, likes and dislikes and how individuals liked things done. People who used the service told us they liked the staff. Comments regarding the staff included, “[Staff] is a lovely one” and “They really gel, a complete team”.