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The Georgians (Boston) Limited - 50 Wide Bargate Boston Good

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Inspection report

Date of Inspection: 3 February 2012
Date of Publication: 8 March 2012
Inspection Report published 8 March 2012 PDF

People should get safe and appropriate care that meets their needs and supports their rights (outcome 4)

Not met 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

Our judgement

People received the care and support they needed to meet their physical needs. However shortfalls in the care plans, especially for those with memory loss, could lead to people’s needs not being fully met.

User experience

The people we spoke with were very complimentary about the care they received and the majority of them praised the staff. One person said the carers and nurses were “Lovely and very kind.” Another said “I can’t fault the home at all, the staff are very good.”

The people we spoke with during our visit all said that they felt included in their care-planning process. A member of staff told us that the care plans were put together with the agreement of either the person or their relative. We saw evidence of this.

We were told by two members of staff the home had achieved the “Gold Standard Framework” for care in care homes, put together by Age UK: all people in the home were on the framework. Depending on which group people had been placed within the framework, their care was discussed by staff at different times on a regular basis and reports sent to their GP and a copy kept in their care folder. In addition to this, all people’s care plans were reviewed monthly with the person or their relative.

A member of staff we spoke with said the local GP’s were “quite good” in that they received a good service from them when they requested visits and we saw staff wrote in the daily notes when they had a visit from any health professional to inform other members of staff.

People were asked 24 hours in advance what they would like for their lunch the following day. We were concerned that some people with a memory loss would not be able to remember what they had chosen. We discussed this with the matron/manager during our visit and she said she would look at the issue and resolve it.

People we spoke with said they enjoyed the food and we saw staff helping those who needed support to eat their meals. They did not rush the person.

The home had three staff employed to provide activity therapy for people living in the home and when we visited we also saw cake decorating had been arranged to take place in one of the lounges.

Other evidence

We looked at four care plans in detail and found that in the main they were complete for people’s physical needs but kept in three different places. We saw that this made it harder to access information quickly when it was needed. NHS Lincolnshire, who paid for the care of some people in the home, also mentioned this when they visited on 5 January 2012. They told the home documentation should be kept in one place.

In one plan a continence assessment had not been completed in full and a number of assessments and reviews had not been dated. Other plans we looked at were not always in the same order which made them difficult to follow.

A member of staff told us that the plans were “too busy and complicated” and the matron/manager told us that she thought if agency staff went into the home “they would struggle” to follow the plans and care for people appropriately.

One person had attended the local accident and emergency department the day before our visit but nothing had been written on their discharge back to the home because the nurse on duty told us they had not had time to write in the person’s daily notes.

Comprehensive life histories for people with memory problems were not available in their care plans. This meant that the staff did not always have the knowledge to care for them in a meaningful way.

When we spoke with the matron/manager, who had only been in post for three months, she acknowledged that care plans needed improving to meet their physical and psycho-social needs and make them easier to follow.