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Banstead Road - Care Home Good

All reports

Inspection report

Date of Inspection: 4 December 2012
Date of Publication: 16 January 2013
Inspection Report published 16 January 2013 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 4 December 2012, 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 represent the interests of people who use services, talked with people who use the service and talked with staff.

Our judgement

People’s privacy, dignity and independence were respected. People’s views and experiences were taken into account in the way the service was provided and delivered in relation to their care.

Reasons for our judgement

We asked people if they felt respected by staff and the two that we could communicate with verbally said they did. We saw staff talking to the third person in a respectful way. We watched and listened to how people and staff interacted during the day. We saw that everyone was involved in conversations; people were relaxed and not hurried. Options for daily living were discussed, such as what people wanted for lunch, where they wanted to go out, or what they wanted to do if they were staying in. We saw that staff listened to what people said and responded in a respectful way.

The six staff we spoke to gave us many examples of how they showed respect to people and preserved their dignity. One staff member told us that “This is their (people who live here) house, we are here to do what they want to us to do.” This was seen in practice as when we arrived at the house the first thing the manager did was introduce us to the people who lived there. Another staff member said that showing respect was about “Giving people time to respond to us, not rushing them, and listening to what they say.” Examples of protecting people’s dignity were given such as closing doors when people were getting dressed. We also saw staff talking to a person when they saw an item of clothing was not on the right way round. The person was encouraged to put it on correctly, and chose to do this before going out on an activity. People felt they were respected, and we saw that staff understood, and acted in ways showing, respect and preserving people’s dignity.

The service had produced a number of documents in an easy read format. This made it easier for people to understand how care was given. The service brochure was available in text and easy read format. This detailed what support the service could give to people. Accessible information was also seen for things such as how to make a complaint, and safeguarding people from abuse. One person told us that they and a relative had been involved in the planning of their care. We saw that advocacy services were involved for people who may need someone to make decisions on their behalf. People were given information and support to help them understand care choices.

People’s views were asked for in a number of ways. House meetings were held where people could raise issues they had about how the house was run and the care being provided. Reviews of care were carried out with people, and care plans updated with the progress people were making. We saw that the service had identified where people had not had a review with a care manager (due to no fault of the service) and were taking action to arrange these. We saw that the care plans were very person centred and identified things that were important to people. We saw that people were supported by staff to achieve these, for example going to the local church. People were involved in the planning and delivery of their care, and were able to express their views on how the service was run.

We saw that people were encouraged to be independent. We saw that one person’s care plan identified they could shower themselves, but a risk had been identified about a medical condition that could result in a fall. This was also affecting the person’s confidence. The care plan detailed that staff should wait outside the shower room so the person could shower themselves, knowing that staff were there to help if needed. We spoke to the person and they told us that this happened. A rota had been displayed on the wall in the dining room identifying daily tasks that people may want to be involved in, for example, cleaning, vacuuming, and helping wash dishes. People told us that they did not have to do these tasks if they did not want to. One person told us they really enjoyed helping out around the house. People also told us that they went out shopping with staff for personal items and also for food. People were encouraged by staff to be independent and involved in their local community