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Inspection report

Date of Inspection: 14 December 2012
Date of Publication: 19 January 2013
Inspection Report published 19 January 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 carried out a visit on 14 December 2012, observed how people were being cared for, checked how people were cared for at each stage of their treatment and care and talked with people who use the service. We talked with staff.

We used the Short Observational Framework for Inspection (SOFI). SOFI is a specific way of observing care to help us understand the experience of people who could not talk with us.

Our judgement

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

Reasons for our judgement

When we visited the service we looked at the records of three people. We saw each had an individual plan and risk assessments to support people with their personal care, health needs, activities and managing challenging behaviour. We were told by the manager and staff that people were fully involved in writing their support plan. Our discussions with people confirmed this.

One person said, "The staff have discussed my needs with me and I am happy with the way I am supported."

The manager told us that they were going through a transition phase with the care plans as they moved to a new format.

We saw that were specific concerns had been raised the home has accessed healthcare professionals to provide assessment and support. An example seen included the input from an occupational therapist to assess the community access needs of an individual in order to maintain their independence.

The provider may find it useful to note that whilst the plans we looked at gave clear information to ensure staff provided safe and appropriate care some lacked the specific information to ensure consistent care. For example two plans contained information on supporting individuals with their personal care. We noted that the plan stated that there were times when they required help with moving and transferring in the bath but there were no specific instructions to support staff with this area and no moving and transferring assessment.

Another plan contained guidelines and information on providing intensive interaction with people. This interaction is used to develop communication with people who have limited verbal communication. The manager told us that this had been successful and supported by the community team. Staff told us that they had been trained in this approach and enjoyed the opportunities in gave for supporting people to communicate. They were using this approach on a daily basis. The provider may wish to note that the current approach is not supported with any record of these interactions. We found that for one person only one entry was made in their daily notes about intensive interaction since the beginning of November 2012. The lack of monitoring means that there is insufficient information to evaluate the approach and may lead to inconsistent support for the individual.

We saw reports from one of the organisation's management team who undertakes regular visits to the home. These included observations of staff interactions with people to ensure needs were being met.

During our visit we observed staff interacting with people in a positive and supportive way. We saw people being supported to prepare to go out on activities and to have a meal. We also observed staff spending time on a one to one basis with people and found this interaction to be positive and responsive to the requests of the individual.

We spoke with staff who told us that they had opportunities to read and understand people's current plan of support. Staff members told us about the support they provided for individual people. They had a good understanding of how to support people with their assessed needs.