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Archived: Moss View Nursing Home

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Inspection report

Date of Inspection: 8 May 2011
Date of Publication: 4 July 2011
Inspection Report published 4 July 2011 PDF | 97.39 KB

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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 reviewed all the information we hold about this provider, carried out a visit on 08/05/2011 and checked the provider's records.

Our judgement

We found compliance with this outcome area. There is a need to ensure up to date written information is available about the services provided by the home. The previous social history and background of the person assessed should be obtained where possible to ensure an appropriate care plan. Staff should ensure that privacy and dignity is respected when health professionals are attending the home and for any treatment provided.

User experience

Relatives spoken with confirmed that they had been able to view the home and bedrooms before agreeing to place their relative in the home. They had also been involved with the initial assessment and had been asked about any individual preferences over how the care and services was to be provided.

Other evidence

The Statement of Purpose and Service User’s Guide that provides information about the services provided was not on public view at the home. It is important that people looking for a service are able to make an informed choice about what is being provided. The Statement of purpose was eventually found but had not been reviewed since the 25th September 2009.

Relatives confirmed that they had been able to view the home and choose a bedroom on behalf of their relative before they had been admitted. Relatives confirmed that they had been present at the assessment process although there were no signatures on the care records seen to show that they had been consulted about how the care was to be provided.

All the people using the service have a difficulty in communicating how they would like to be cared for. Information was seen to have been obtained on one care record from the hospital where the person had been a patient. An assessment process is then undertaken that examines any risks involved in the provision of the care and the details are recorded.

One of the care records had information about the background and social history of the individual concerned and another had the reasons why the person had been admitted into the care home. The care records were not standardised and none of the recent records seen had any background information.

There were good instructions within the care plans about how to protect an individual’s privacy and dignity when staff are carrying out personal care such as helping someone to the toilet or bathing. Some of the rooms are shared and there was evidence of screens.

Routines are relaxed within the home for example meals are provided according to when they feel ready to have their meal.

During the visit, a General Practitioner was observed examining a person within the lounge in view of the other people using the service and visitors to the home.

There have been previously concerns raised about the lack of privacy and dignity for a person observed having emulsifying cream applied to their face within the lounge.

There was little information about individual hobbies and interests on the initial assessment and activities within the home appear to be limited. Staff were observed talking to people using the service and walking the corridors with them. Relatives confirmed there appear to be very little outings provided by the home but, they are assisted to take their relative out. Some concern was raised that staff do not always ensure that appropriate clothing was worn before the person using the service is taken out, for example clothing that is too tight and the zips are not done up properly.

Moss View have stated that they encourage anyone to express their views, concerns and complaints through their annual quality monitoring questionnaires.