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Turning Point - Avondale Good

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Inspection report

Date of Inspection: 31 July 2013
Date of Publication: 4 September 2013
Inspection Report published 04 September 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 31 July 2013, observed how people were being cared for and talked with people who use the service. We talked with carers and / or family members and talked with staff.

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 reviewed four care records and saw each contained a front sheet which provided a photograph of the person and an introduction entitled “who I am”. This listed a summary of likes, dislikes, food preferences and other key information which staff needed to know to support the person. Although it was written in a person centred style, the staff had completed this information on the persons behalf with their relatives input. We were told by the manager the care plans were reviewed monthly by the key worker and also annually by the provider, the family and involved healthcare professionals. We saw these reviews were documented and signed by all parties.

Care and treatment was planned and delivered in a way that ensured people’s safety and welfare. We noted from our review of records that individual risk assessments were in place and linked to each care plan. These assessments took into account risks relating to peoples individual needs such as going out. We saw that where a person had chosen to undertake tasks such as helping in the kitchen, the hazards had been identified and actions to reduce risks for the person had been documented. These assessments and information ensured the staff were informed of how to minimise risks for the people living at Avondale.

The personal support plans were clear and detailed. There was a section for each element of support the person required such as physical health, mental health, social interaction and personal care. There was specific information which related to the management of their behaviours. This was supported by monitoring records of the amount and type of community engagement each person had during the week. As a result of monitoring these records the manager told us the provider had agreed to increase the amount of support one person had to help them engage more in the local community.

Health action plans were in place and included information on medical and dental appointments. We noted each person had a 'hospital passport' document completed in their file. This was a detailed profile of the person and would accompany them if they needed to go to hospital. It included pictures of any sign language that people used to help them communicate their needs. This would ensure that continuity of care could be maintained through any episodes of illness where other providers may be involved.

People's health care requirements were clearly identified including a description of their condition, medication requirements, frequency of health checks and outcomes of specialist appointments to enable their progress to be monitored.

In our discussions with staff and our observations we found they had a detailed knowledge of people's individual needs and preferences, and their approach to each person was based on this. One member of staff told us “the most important thing is getting to know the people so I can understand them and help meet their needs”.

All the staff we spoke with confirmed they felt the care plans, records and risk assessments helped to facilitate good quality care. Staff also told us they had received training and support from the Community Team for People with Learning Disabilities (CTPLD).We saw records of meetings where the CTPLD had attended when reviewing a person’s care and support needs.

We spoke with three visiting relatives of the people living in the home. They all told us that the care given was excellent. They explained they had been involved in planning the delivery of care and were invited to attend reviews where this was discussed. One relative told us “this is a really great home and I doubt we would have ever found a better one”. Another one said “the staff here are really professional and when we visit at any time of the day or night they are all excellent”.

There was a full activities programme both on and off site for the people living