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Inspection report

Date of Inspection: 5 August 2014
Date of Publication: 9 September 2014
Inspection Report published 09 September 2014 PDF

People should be treated with respect, involved in discussions about their care and treatment and able to influence how the service is run (outcome 1)

Meeting this standard

We checked that people who use this service

  • Understand the care, treatment and support choices available to them.
  • Can express their views, so far as they are able to do so, and are involved in making decisions about their care, treatment and support.
  • Have their privacy, dignity and independence respected.
  • Have their views and experiences taken into account in the way the service is provided and delivered.

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 5 August 2014, observed how people were being cared for and talked with people who use the service. We talked with carers and / or family members and talked with staff.

Our judgement

People’s privacy, dignity and independence were respected.

Reasons for our judgement

People expressed their views and were involved in making decisions about their care and treatment. We observed that staff explained to people what care they wished to provide and where possible obtained their agreement. People were addressed and spoken to in a caring manner and time was given to carefully explain what they wanted to do. For example for one person using the service who had impaired vision and hearing we saw staff sat with the person and held their hand whilst they explained they were going to help them mobilise.

We spoke with three members of staff about how they ensured people's privacy and dignity was protected. Staff explained how they knocked on people's doors before entering their room and they ensured people remained covered whilst providing personal care to ensure their dignity remained protected. We looked at what arrangements were in place in shared accommodation and observed screens were available and were being used whilst providing personal care.

People we spoke with said ‘’Staff always knock before coming in and they ask me what I want wear. They take things out of my wardrobe and hold them up for me to see so that I can choose.’’ Staff we spoke with told us they ensured people's clothes were well cared for and they had a system to ensure they could identify and return peoples clothes to them after laundering so their dignity was maintained. One staff member said ''It's important for people to feel they look nice and that their clothes are well cared for.''

We observed staff asking people if they needed a drink or if they were happy to sit at the table for their lunch. Where people who used the service could not directly express their views they and their families were involved in making decisions about their care and treatment. One relative we spoke with said about the staff ''they always ask me about any changes in care and ask my advice about what my partner would prefer.

We looked at six care files and saw there were clear instructions for staff about providing care in a manner which ensured people's dignity was respected. People’s care files contained completed consent forms signed by the person using the service to use bed rails and have their photograph taken and placed in the file.