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Howard Goble House Requires improvement

All reports

Inspection report

Date of Inspection: 20 March 2012
Date of Publication: 8 May 2012
Inspection Report published 8 May 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

Overall we found that Howard Goble House was meeting this essential standard. Care and support was planned to meet individuals’ needs and was delivered in a way that took in to account their preferences and choices.

User experience

People we spoke with during our visit told us it was all right living at Howard Goble House and that the food was also all right.

We observed staff supporting people to take part in activities at a pace that suited the individual and in ways that demonstrated a positive regard for them. The atmosphere in the home was comfortable and relaxed.

In response to the annual feedback questionnaire in 2011, relatives, family friends and an advocate said people’s health care needs were met.

Other evidence

The records of people who used the service that we saw showed that their care and support plans centred on them as individuals and considered their immediate and longer term needs. The plans were developed with them and with those acting on their behalf, such as relatives and social workers. Risks were identified and measures taken to control the risk of exposure or injury. Staff we spoke with understood that such measures should support people to be as independent as possible while still keeping them safe.

We also saw that each person using the service had a key worker and health facilitator. The key worker supported the person to keep their plans under review to ensure they continued to enable them to do what they wanted to. The health facilitator supported people to complete their health action plan. Staff met regularly with the multidisciplinary learning disability team to review the care provided to people who had dementia or whose behaviour was challenging.

People using the service were registered with a GP and a range of health care professionals and services were regularly involved in meeting people’s needs.

Procedures were in place for reporting incidents and for acting upon the recommendations of safety and risk alerts and notices.

There was a business continuity plan to deal with foreseeable emergencies such as an influenza pandemic or adverse weather.

There was a strong smell of urine in one of the bedrooms and in the upstairs lounge. We raised this with the registered manager as a care management issue. She told us that people had been referred to the continence advisor and that continence support was in place for them. She also said carpeting in some areas had been replaced with more suitable flooring and that cleaning schedules had been improved. She was also able to bring forward the replacement of flooring in other areas and to arrange for furniture to be deep cleaned with a suitable cleaning product.