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Inspection report

Date of Inspection: 25 July 2012
Date of Publication: 17 August 2012
Inspection Report published 17 August 2012 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

Our judgement

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

The provider was meeting this standard.

User experience

We spoke with people about how their needs were met and observed staff supporting them. One person told us that they liked to have a bath three times a week on set days and staff always ensured that this happened as agreed.

One person told us, "I like having my hair and make-up done every day".

The relative of one person living in the home told us, "They look after her very well"

Other evidence

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

We looked at the care of four people living in the home. All files had evidence of a review in the last three months.

Each person had an assessment of need in place from which care plans were developed. Care plans were developed for a range of different needs and covered areas such as: physical health, personal care, mobility, finances, social activities, medication and behaviour. Each different section of the care plans had a relevant risk assessment in place. The care plans were personalised to each individual's needs and from the people we spoke with we were able to see that they accurately reflected their needs and wishes.

Each person had a separate health assessment that detailed when regular visits to their GP, dentist, opticians and chiropodists were due. These assessments were presented in a pictorial form to enable the individual to understand and be involved in them.

People had individual activity plans that detailed regular activities that they wished to do inside and outside of the home. Although we also observed that activities were spontaneous to reflect people's wishes and needs. For example staff were observed assisting people to use the trampoline and ball pit in the garden.

We also looked at the daily records completed by staff for each individual and the communication book used for staff to pass on messages. These records gave clear details of how staff were meeting people's needs each day.

One person whose records we looked at had a small pressure ulcer on their ankle. Staff told us that they had been shown by a health professional how to apply the dressing and what signs to look for to manage the condition in between visits from the district nurse. We saw records of how staff and the district nurses were managing the ulcer in the daily notes for that person and the communication book. We also saw notes of staff meetings where this person's care needs had been discussed and information about the pressure ulcer were communicated. The provider may find it useful to note that there was no information recorded in the individual's care plan about the pressure ulcer.