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Lulworth House Dementia Residential Care Home Good

All reports

Inspection report

Date of Inspection: 11 February 2013
Date of Publication: 16 March 2013
Inspection Report published 16 March 2013 PDF

People should be treated with respect, involved in discussions about their care and treatment and able to influence how the service is run (outcome 1)

Meeting this standard

We checked that people who use this service

  • Understand the care, treatment and support choices available to them.
  • Can express their views, so far as they are able to do so, and are involved in making decisions about their care, treatment and support.
  • Have their privacy, dignity and independence respected.
  • Have their views and experiences taken into account in the way the service is provided and delivered.

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 11 February 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 staff and reviewed information sent to us by commissioners of services.

Our judgement

People’s privacy, dignity and independence were respected. People’s views and experiences were taken into account in the way the service was provided and delivered in relation to their care.

Reasons for our judgement

People expressed their views and were involved as far as possible in making decisions about their care and treatment. People's diversity, values and human rights were respected.

We spent time with people in the lounge and dining room and spoke with some people in their own rooms but their feedback did not relate to this standard. This was because people who lived in this home were experiencing dementia and were unable to tell us about their experiences of how they were involved in decisions relating to their care and treatment.

We saw that staff were respectful to people who lived in the home and encouraged people to make their own decisions about what they wanted to do and how they wanted to spend their time through offering choices in ways that people could understand. For example we saw people being offered choices about which lounge they would like to sit in or if they would prefer to go to their own rooms. There was a choice of meal at lunchtime, choices included sweet and sour chicken with rice and vegetables. Scotch eggs or quiche with baked potato and salad. We spoke with the cook who told us that, although people were asked to choose what they would like earlier in the morning they were again offered a choice at the time the meal was served because people may have forgotten their previous choice. The provider may find it useful to note that not all staff showed people what the choices were at the time the meal was served. We saw that people were offered a choice of drinks throughout our visit including plain water for those who preferred it. People who needed help to eat or drink were supported discreetly. Staff knew what people needed support with and what they were able to do for themselves. This meant that people were helped to make choices and retain as much of their independence as possible.

Staff took time to explain what was going to happen before helping people who needed support to move around the home. We saw that staff were careful to close doors and communicate discreetly when helping people with their personal care needs. Staff knew each person well and treated each person as an individual. This meant that people were treated with respect.

There was an activities co-ordinator employed by the service who was trained in dementia, therapy for older people. They worked with people in the home five days a week for six hours each day. We saw that people were involved as far as possible in planning activities. For example during our visit a discussion was taking place with people about doing some baking later in the week. There was a minibus available for outings when the weather improved. Shopping trips and trips to local places of interest had taken place since our last visit. Some people had enjoyed a boat trip. There were photographs of these events displayed around the home. Future trips and events were advertised on the notice board. This meant that people were offered opportunities to take part in outings from time to time.

People's religious preferences were recorded in their care plans. Church services were offered in one of the lounge areas once a month for those people who wished to attend. These services were advertised on the notice board and staff told us they reminded people at the time so that people knew when and where to go if they wanted to join in.