You are here

Archived: College Green Rest Home Good

All reports

Inspection report

Date of Inspection: 15 August 2012
Date of Publication: 2 October 2012
Inspection Report published 2 October 2012 PDF

People should get safe and appropriate care that meets their needs and supports their rights (outcome 4)

Not met 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

Our judgement

The provider was not meeting this standard. Care records did not contain complete and accurate information relating to the care and treatment of people living in the home.

We judged that this had a moderate impact on people using the service and action was needed for this essential standard.

User experience

We spoke with people about their experiences living at the home. They told us they felt well looked after.

Other evidence

We looked at five records of people who lived at College Green. The documents included a care plan and risk assessments in areas such as mobility, medication, moving and handling, pressure sore care and nutrition. Each person living at College Green had dementia and one person had a diagnosis of schizophrenia. However we found the information in the records was not a comprehensive record to enable staff to provide accurate care and support to the person. This was important as they had memory problems and were not always able to tell staff what they needed.

We found that mental capacity assessments had not been completed on any of the people living at the home. This meant that the degree of their confusion and their ability to make decisions was not recorded. Therefore the care records did not provide a comprehensive plan for staff to provide detailed care to them.

Each person who lived in the home had a care plan but it did not show sufficient information about how the person needed to be supported or their particular preferences in their daily routines. In one record it stated that the person was confused but did not specify in enough detail of how to support her with her personal care. This was important as the person was unable to inform the staff themselves.

One person, who had recently come to live at the home, had a diagnosis of schizophrenia. The manager informed us that they did not have any information about this person's mental health condition, despite requests from various health professionals. The information would have informed staff about the general symptoms and specific indicators to show if they became unwell. Without this information staff had no indication of how to support the person or when they required assistance. This showed it was important for the care plans to contain all information from the pre-admisison assessment and from the professionals involved with the person.

The needs of people who wanted to move into the home had been assessed before a decision was made to arrange the placement. This ensured the staff team were able to provide care and support needed by each individual. We were informed that information was gathered from all professionals involved with the care of people living at College Green, so a clear picture of the assessed needs of a person was developed.

This information was required particularly for one person who was at College Green for a period of respite and staff did not know them as well as the other people who lived there permanently. The mental capacity assessment was not on their care file and should have been completed prior to or on admission or requested from the placing local authority. We saw evidence of risk assessments on the care records. However more detail was needed regarding their routine and their likes and dislikes for staff to support them as required.

We spoke with some staff who had worked at the home for some time. They provided a good understanding of what people needed on a daily basis. They told us they were informed about people’s needs from the care plans and about any changes at the handover period for a shift change. However we identified some gaps in this information which did not give a complete picture of the person and their needs.