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Inspection report

Date of Inspection: 8 November 2011
Date of Publication: 4 January 2012
Inspection Report published 4 January 2012 PDF | 49.97 KB

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

We reviewed all the information we hold about this provider, carried out a visit on 08/11/2011, observed how people were being cared for, talked to staff and talked to people who use services.

Our judgement

People have a plan of care but some are incomplete whereby records do not always identify individual risk.This means that people may not be always be consistently receiving the care they need.

User experience

Everyone living within Walnut house was able to communicate their views and were very positive about the service they receive. One person stated that they were "Very happy with the staff that support them and that they are always kind and listen to me." Another person, who was cooking at the time that we visited. They were very proud of their home and they told us that they "enjoyed cooking and going out."

Other evidence

We looked at the care records for two people during our visit on 08 November 2011

and these records showed that each person has a plan of care. Care plans we looked

at recorded people's care needs and how these were to be met by staff. The care plan did not always provide specific guidance for staff as to what to do in order to ensure the person's wellbeing was maintained.

Risk assessments were not completed for all areas of assessed risk within those care

files looked at. Where risk assessments were in place, further improvement were

required to ensure that this clearly records the exact risk posed to the person and the

steps as to how this is to be minimised. One example of this where a person was at risk from suffering epileptic fits.

In general terms daily care records were seen to be of a reasonable standard as they

provided some insight as to how people spend their day and the care that people had

received. During the visit we were able to directly observe the quality of care experienced by people living in Whitstone and Walnut house. This showed us that people's general level of wellbeing was good and that staff interactions were positive. Some people were seen to be selfassured and confident, to make independent choices and decisions and to show signs of self respect and positive self esteem. Staff were seen to be kind and caring in their approach, to listen effectively and to respond appropriately.

We spoke with four members of staff on duty and all had good understanding of the

needs of people, including triggers of behaviours.

The manager stated that the current staffing levels were adequate to meet the

needs of people living within both houses. Several people living within Whitstone house are supported on one to one staffing levels and with some people requiring two to one support when accessing the community.

Staff described a range of activities that people are involved with and we saw the activity plans and also the daily notes that confirmed the activities that took place. People attend both daycentres and a study centre within the local area and others are provided with daytime activities by support workers.