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Archived: Care Management Group - 361 The Ridge Requires improvement

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Inspection report

Date of Inspection: 29 May 2014
Date of Publication: 2 July 2014
Inspection Report published 02 July 2014 PDF

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 29 May 2014, observed how people were being cared for and talked with people who use the service. We talked with staff.

Our judgement

Care and treatment was planned and delivered in a way that was intended to ensure people's safety and welfare.

Reasons for our judgement

At our last inspection in November 2013 we found that care and treatment was not always planned and delivered in a way that was intended to ensure people's safety and welfare. This was because of a lack of up to date care plans and risk assessments. We also found that some people were isolated and not involved in regular activities. The provider wrote to us after the inspection and told us they had taken action to make improvements.

At this inspection we looked at the care records of three people that used the service. They all contained an assessment of needs and a detailed support plan which explained how identified needs were to be met by the service. Information included support needed for areas such as eating and drinking, daily living skills, communication, mobility and relationships. These were seen to be up to date and reflected people's current needs. We looked at the daily diaries for each person which showed that support was given in line with written plans. This meant that people’s needs were assessed and care and treatment was planned and delivered in line with their individual care plan.

Each person had an up to date risk management plan which contained information on potential risks and how these were to be kept to a minimum. For example one person who used a wheelchair had a risk assessment for accessing the community and the risks that staff needed to be aware of, such as slippery pavements in winter. Other risks identified included fire safety, manual handling, behaviour and fire safety. We noted that each person had a written personal evacuation plan which explained the action to take in the event of an emergency such as fire alarm. Risk assessments had been signed and dated by staff to show that they had been read and understood. This meant there were arrangements in place to deal with foreseeable emergencies.

Each person had a health file which included an up to date health action plan. This detailed the support people needed to stay healthy and maintain their physical well being. For example, one person's health plan had information about their hearing, skin integrity, eyesight, feet and communication. A physiotherapy programme was in place to assist them in maintaining their mobility. There was a record of visits to health professionals such as dentist, optician and physiotherapist. This meant that people were appropriately supported to maintain their health.

We saw that there were records of monthly keyworker meetings between each person and a member of staff. These meetings were used to talk about how the person was getting on, any issues, what activities had taken place and ideas for the future. This meant that people's progress and goals were regularly evaluated.

During our inspection we observed that people were supported at a pace appropriate to their needs. Two people we spoke with told us that they liked living at 361 The Ridge and that they felt looked after. The staff we spoke with made comments such as "Residents are getting out more", "People are looked after well" and "We get time to be with the residents".

Daily diary records showed that the people who used the service were able to take part in a range of activities. These included college, trips out, aromatherapy and arts and crafts. The provider may like to note that we observed one person who appeared to spend a lot of time in the lounge away from the group and with little contact with staff. Due to their complex needs it was difficult to judge if this was the person's own choice. The manager was aware of this and told us that the service is looking at ways to improve the person's engagement and stimulation. Activities that were being explored included water therapy and aromatherapy.