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

Reasons for our judgement

People’s needs were assessed and care and treatment was planned and delivered in line with their individual care plan.

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. We also spoke with the new manager, the deputy manager and other members of care staff on duty. The majority of people who we observed and spoke with were content. People told us that staff were kind and they liked their meals.

We looked at three people’s individual care records. We found that people’s needs were assessed before they moved in to make sure their needs could be met in the home.

Each person had individual risk assessments These included falls, moving and handling, and nutrition. People were weighed every month and their weights were recorded. Records showed that advice had been sought from health professionals where there were any concerns about people’s health. Charts were completed where there were concerns that people might not be eating or drinking enough to maintain their health. This meant that people were protected from risk of harm.

The activities coordinator was working with people to update information about peoples’ interests, preferences and life histories. Staff knew people well and were able to demonstrate that they understood people’s individual needs and preferences. We saw conversations taking place between staff and people who lived in the home about their families and interests. This meant that people were treated as individuals.

Some people who lived in the home found it difficult to move around without support. We saw that staff had received training in moving and handling and were helping people in a safe and appropriate way during our visit. There was guidance in people’s individual care plans to make sure all staff knew how to help people to move around safely. This meant people were protected from risk of injury.

There were procedures in place within the care plans to identify pressure ulcers. These included risk assessing people and using body maps to identify risk areas. We saw that a recently identified wound had been promptly referred to the district nurse who was in the home during our visit to provide advice and treatment. We saw that care plans identified where preventative action was needed to maintain people’s pressure areas. We saw that air flow mattresses were in place where needed. Repositioning charts and food and fluid charts we looked at were up to date and completed accurately. This meant that people were protected as far as possible from the risk of developing pressure ulcers.

We saw that routines in the home were flexible and relevant to the people who lived there. There were opportunities for people to take part in a variety of activities if they chose to. These included games, music, films and baking. There was an activities programme. Staff told us they reminded people when and where activities were taking place. This meant that people knew what was happening in the home each day so they could join in if they wanted to.