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St Anne's Community Services - Phoenix Court Good

All reports

Inspection report

Date of Inspection: 13 November 2013
Date of Publication: 11 January 2014

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 13 November 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 carers and / or family members, talked with staff and reviewed information sent to us by commissioners of services.

Our judgement

People experienced care, treatment and support that met their needs and protected their rights.

Reasons for our judgement

We looked at the personal care or treatment records of three people who used the service, observed how people were being cared for and checked how people were cared for at each stage of their treatment and care. We spent time observing daily life. We found that care and treatment was planned and delivered in a way that ensured people’s safety and welfare. We observed that staff provided support and engaged in a positive way with the people who used the service. The provider should note we felt the security and storage of household products had the potential to cause harm. See Outcome 10.

People who used the service had their personal care plan, which identified their individual needs and abilities, choices and decisions, likes and dislikes. In addition to this information there were a range of risk assessments to cover daily activities of life, moving and handling, nutrition and behaviours where a risk to the person or others had been identified. We saw actions and referrals to other professionals in response to any issues identified in these risk assessments. We saw monthly reports and care plan reviews were in place. On the day of our visit an NHS podiatrist had visited the home to review the foot care of all people who used the service. This showed us that people received care and support that met their needs.

Whenever possible the staff supported and encouraged people to be as independent as they were able. A key worker scheme was in place, but due to recent staff turnover we were told some people who used the service no longer had a named nurse. We spoke with staff and the registered manager about the care and wellbeing of people who used the service. We found them knowledgeable about the needs and rights of these people.

The care records highlighted what people could do on their own and when they needed assistance from staff. We observed good interactions between the staff and people who used the service, with friendly and supportive care practices being used to assist people in their daily lives. We saw that people were relaxed in the company of staff. One relative told us ‘he is happy where he is.’

Staff told us and we saw evidence of activities taking place. We saw a minibus was available to take people out into the community each day. Two members of staff were taking one person who used the service to visit his father in a local care home on the day of our visit. One relative we spoke with told us ‘he visits us regularly; it all depends if they have enough staff on.’ This showed that people who used the service were supported to visit community facilities and keep in touch with family and friends.

We looked at a colour coded hospital assessment form which was being introduced for one person. The form included information about what the person liked and disliked and how the person usually communicated pain and discomfort. This assured us that people going into hospital experienced care and treatment that met their needs.