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Inspection report

Date of Inspection: 12 October 2013
Date of Publication: 13 November 2013
Inspection Report published 13 November 2013 PDF | 79.6 KB

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 12 October 2013, 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 and talked with staff.

Our judgement

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

Reasons for our judgement

People’s needs were assessed prior to them choosing to live at the home. The assessment process gathered information about people’s health conditions, needs and preferences. This information was then used to create detailed care plans to show how staff should deliver care. We looked at one person’s care record who was staying at the home on a temporary basis. The pre-admission assessment had not been completed although there was detailed information about their needs which staff were able to tell us about. The managers acknowledged the need to ensure this was completed so staff could refer to this when needed.

We observed staff deliver appropriate care throughout the day. One person said, “It is okay here, I have no problems. They look after me.” People were supported to eat and drink at mealtimes, take part in activities and spend their time how they wanted. One person described how staff supported them to do things they wanted as part of their daily routine. We saw people being given choices for their meals, which people were complimentary about. One person told us, “The food is great and we get a choice.”

Care and treatment was planned and delivered in a way that was intended to ensure people's safety and welfare. People had appropriate risk assessments in place which were person centred. Staff we spoke with were aware of these risks and explained how they minimised and managed this. Records showed that people had seen other professionals, such as doctors and dentists, in a timely manner. We found that staff were responsive to people’s needs and changes in health. Various healthcare professionals were involved in people’s care, based on their needs. One person told us about staff arranging for external professionals to assess them.

We found that people had access to a range of different activities. People told us that staff organised activities which they could be involved in. We saw an activities planner for the week which included two activities for each day. One staff member explained that the activity on the day of our inspection was for them to go through the weekly menu with people so they could choose their meals. People we spoke with confirmed staff doing this with them. One person told us, “We have bingo, dominoes and sometimes I go out as well.” This meant that people had opportunities to have a stimulating and meaningful lifestyle.

We found that people’s equality and diversity were respected. People’s care records showed that information was gathered about their religion and ethnic background. One person told us they attended a place of worship on a regular basis. The activities plan showed activities that were offered which would meet people’s religious needs. One person said, “I choose not to attend, but if I did the staff would make arrangements.” We found that different methods of communication had been used for people who had difficulties with their hearing. One staff member told us that they communicated through writing. One manager told us they were looking at exploring this further to use images.