You are here

All reports

Inspection report

Date of Inspection: 6 September 2012
Date of Publication: 4 October 2012
Inspection Report published 4 October 2012 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 6 September 2012, 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, talked with carers and / or family members and talked with staff.

We used the Short Observational Framework for Inspection (SOFI). SOFI is a specific way of observing care to help us understand the experience of people who could not talk with us.

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 and care was planned and delivered in line with their individual care plan. Care files we reviewed showed that there was information about people’s current and past medical history. We found that individual assessments had been carried out and these were then used to develop people’s individual care plans. Plans were reviewed regularly and record keeping was clear. We saw that where there had been a change in a persons needs' their care plan had been reviewed immediatley and updates made as necessary. For example, we were told that a person now required their food to be specially prepared for them and when we reviewed the care plan we saw that this had been documented so that staff were aware of this change. This demonstrated that care and support was assessed, planned and carried out in accordance with people’s individual needs.

Care and treatment was planned and delivered in a way that ensured people’s safety and welfare. We noted from our review of care plans that individual risk assessments were in place. These assessments took into account risks relating to people’s moving and handling needs, their likeliness to fall, develop a pressure sore or suffer from malnutrition. We saw that where a person had a particular medical need, this was clearly documented so that staff were aware of any actions that needed to be taken. For example, we saw that for a person who required regular visits from the District Nurse, details of these and any outcome were written in the persons care plan. These assessments and information ensured that staff were made aware of how to minimise risks for the people living at York House.

There were plans in place to deal with foreseeable emergencies. During our review of care plans we also saw that each person had in place a personal fire evacuation plan. Theses described the arrangements to be adhered to should an emergency occur. These demonstrated that a co-ordinated and safe approach would be taken in relation to any emergency that required evacuation of the premises.