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Archived: Belton Lodge Nursing Home

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Inspection report

Date of Inspection: 27 September 2011
Date of Publication: 9 November 2011
Inspection Report published 9 November 2011 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

Our judgement

People received personalised care, which was appropriate to their needs and wishes.

User experience

We had limited opportunity to discuss people’s experiences with them due to the number of people who were awake and willing to talk with us during our visit. One person told us, “They know what I like.” We asked people if they felt the care they received was appropriate to their age and gender and they said that it was.

During the visit we saw people using different areas of the home. We saw some people sat in the garden enjoying the warm weather. One person said, “I like the heat.” Another person was playing a card game with a member of staff. We also saw people sat in the lounge listening to music and another person watching a film in the conservatory.

One person told us, “I like a drink, they get me one if I ask” and “I don’t like to do a lot, I listen to my radio, I listen to the same station.”

Other evidence

There had been three people admitted to the home this year for a period of short term care, one of whom was still there. We saw the support the person required was known before they moved into the home as there was a completed assessment of their needs, which was dated before they moved in.

We looked at a sample of three files which were typed making them easy to read. They gave clear direction of what support the person wanted and how this should be provided. An example seen in one person’s care plan stated, “Position yourself so you can make eye contact when trying to communicate with me.” Staff commented that they thought the care plans were now a lot more personalised and said they use a checklist to make sure they were getting the required information in them.

We saw charts were being kept of people’s fluid and nutritional intake and where someone was on bed rest a chart showing they were being regularly moved to protect their skin from pressure damage. In the staff meeting minutes it was recorded that staff must complete these records at the time and not wait until the end of the shift. We saw staff following this instruction when people had been given a drink and something to eat.

One person’s records showed their weight was being monitored and when this showed a significant loss the person was admitted to hospital. The person’s care plan had been kept up to date with all developments. We also saw recorded in another person’s file concerns about their well being and how they were referred to their doctor. A course of medication had been prescribed and the person’s catheter was removed. The relevant care plans had been updated to take these changes into account.

Staff told us they could tell straight away if anyone was not feeling well and said that they called a doctor if they had any concerns. They also spoke of using other healthcare services including dieticians, district nurses and occupational therapists.

We saw correspondence in people’s files with various healthcare agencies showing people had accessed various services. In one file there was an assessment on the person’s eating abilities completed by the speech and language team (SALT) and information about the type of diet they should be provided with.

Staff told us they felt there should be more frequent activities on offer for people and added that they noticed a positive change in people’s awareness when they had been involved in activities. Staff said they felt an activities coordinator would be a good addition to the staff team as they would have the time to identify and plan appropriate activities for people.

We looked at the records made of activities people took part in. We saw that one person who needed long periods of bed rest had individual time provided in their room. There were with entries in their activities record of “talking about childhood” and “hand massage.”

We saw a residents’ newsletter for September 2011 which referred to people having enjoyed an outing to a local tea room. Staff told us there was now a weekly outing for people and all the staff came in to help take those that wanted to go.

Staff who were responsible for reviewing and updating care plans said they had sufficient time allowed for them to do this. However said they were worried this would not continue when planned changes were made to the staff rota.

We asked staff if they felt they were able to provide care to people that recognised and addressed any issues of diversity and they said they did.