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Thomas House (St Helens) Limited Good

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Inspection report

Date of Inspection: 23, 28 January 2013
Date of Publication: 27 February 2013
Inspection Report published 27 February 2013 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, reviewed information sent to us by other organisations, carried out a visit on 23 January 2013 and 28 January 2013 and observed how people were being cared for. We checked how people were cared for at each stage of their treatment and care, talked with people who use the service, talked with carers and / or family members and talked with staff.

Our judgement

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

Reasons for our judgement

We looked at the care records of three people who used the service and we saw that they were up to date and contained a lot of information and detail, which supported staff to be able to deliver the care required. The care records also included assessments of need, risk assessments and guidance on how to manage those risks.

Some of the wording in one care plan, which described a person, was not appropriate or professional. This was shown to the manager who acknowledged that it was not appropriate and said, “We are changing the care record format and I will be responsible for re-writing care plans in a more dignified and appropriate way.” The manager also commented that staff would be informed about the need to write all documentation in a professional, dignified and appropriate manner.

We were told by staff that continuity of care was supported by daily records and a formal handover meeting, which we observed on two occasions.

Some of the comments from relatives were, “The staff have really encouraged and motivated my mum”, “They (staff) have encouraged (name) to take on life again” and “I Know that (name) is safe and gets very well looked after.”

The home was working effectively with outside agencies to support people and provide appropriate care. Care records showed co-ordination of care and treatment with professionals, including GP's and district nurses. One relative said,” The GP was contacted after night staff heard my relative coughing. I think that is excellent.”