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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 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 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

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

Reasons for our judgement

People’s needs were assessed and care and treatment was planned and delivered in line with their individual care plan. There were 16 people using the service on the day of the inspection. We reviewed six care plans and were able to see each person had been pre assessed prior to admission to ensure the service provided was appropriate for their needs. Some people using the service were unable to express themselves and we were able to see evidence that family members and other care agencies had been involved in the pre-assessment to ensure the person’s best interests were represented.

Care and treatment was planned and delivered in a way that was intended to ensure people’s safety and welfare. Staff we spoke with told us each person had a care file which included a background history, a medical summary including their specific likes and dislikes. We saw there were risk assessments of many aspects of daily living such as dietary needs, personal care and preferred activities. With this information staff had prepared individual care plans. The risk assessments had been reviewed and care plans adjusted as people's needs changed. For example one person with reduced mobility had been identified as having a poor skin condition and there was a plan of care to minimise the risk of pressure sores or skin breakages.

We were able to see families had been consulted about people's care needs. Families had provided information about food preferences, clothes people liked to wear and their preferred daily routine. We spoke with six people using the service. One person said, ‘’The staff are OK. They ask me what I would like to eat, we have a choice and they make sure any meat is minced so that I can manage it.’’ The person went on to tell us they thought their room was nice and comfortable and they had everything they needed. We looked at the menu’s and were able to see people had a choice of meals each day and there was a monthly meal plan to ensure people using the service had a balanced and varied diet. There was a record of the routine visits by the general practitioner and peoples care files contained information about care provided by other care agencies such as the podiatrist or dentist.

Another person we spoke with told us someone came in most days to do varied activities with the people using the service. They said, ‘’I like doing the games and enjoy using the garden when the weathers nice. The cook is fantastic. I have only been here a few months but I’m happy with everything. If I want to go into the village the manager organises for someone to take me.’’

We spoke with the activities coordinator who worked part time. They explained they prepared a plan of activities suited to the needs and abilities of the people using the service. We saw the plan was clearly displayed for people using the service and included a range of activities including light exercise and activities of mental stimulation. The activities coordinator showed an understanding of different people’s needs and preferences. She told us games and music tended to be popular and said, ‘’We recently had a summer party for people and their families that was very successful.’’ We saw photographs of the event and that peoples relatives and friends had been involved.

There were arrangements in place to deal with foreseeable emergencies. We spoke with two healthcare assistants about what they would do if a person using the service became unwell. The staff told us they would immediately notify the registered nurse in charge who would decide what actions to take. The registered manager told us they would assess the person concerned and either contact their general practitioner or call for the emergency services depending on the person’s condition. They told us they would also notify the person’s relatives. Staff were able to tell us there was a trained first aider and they had access to a first aid kit. We saw the first aid box was well stocked and easily accessible to sta