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Inspection report

Date of Inspection: 11, 12 September 2013
Date of Publication: 4 October 2013
Inspection Report published 04 October 2013 PDF

People should get safe and coordinated care when they move between different services (outcome 6)

Meeting this standard

We checked that people who use this service

  • Receive safe and coordinated care, treatment and support where more than one provider is involved, or they are moved between services.

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 11 September 2013 and 12 September 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, talked with staff, reviewed information sent to us by commissioners of services and talked with commissioners of services. We talked with other authorities.

Our judgement

People’s health, safety and welfare was protected when more than one provider was involved in their care and treatment, or when they moved between different services. This was because the provider worked in co-operation with others.

Reasons for our judgement

People had health action plans in place which detailed the support they required to enable them to access health services. People also had detailed hospital passports which contained important information regarding the person such as how they liked to be supported.

People at the service attended a community dental practice and we saw that advice from the dentist had been entered into people’s care plans and details of appointments were maintained.

We saw from records that people were supported to access their GP when required and also had an annual health checks. We also noted that people were supported to attend appointments for screening for specific diseases at the GP’s surgery.

We saw that people’s medications were regularly reviewed by a consultant psychiatrist. There was evidence that people’s medications had been monitored, reduced and amended in line with improvements in their behaviours. This meant that people’s health, safety and welfare was protected when more than one provider was involved in their care and treatment, or when they moved between different services. This was because the provider worked in co-operation with others.

We reviewed the systems in place regarding the assessment and transition arrangements for new people moving into the home. We saw that a thorough assessment was made of the person’s needs and a planned transition was worked out with the previous service. This involved the person visiting the home and meeting the people that lived there before moving to the service. This meant that the home had procedures in place to manage effective transition to the service.

People living at the service had not recently had to access emergency health services. However, we were told that plans would be put in place to ensure that people would be able to access services. This involved liaising and working with other health services to ensure that people supported by the service were able to receive appropriate treatment form these services.