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Inspection report

Date of Inspection: 28 November 2011
Date of Publication: 17 January 2012
Inspection Report published 17 January 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 who use the service experience effective, safe and appropriate care, treatment and support that meet their needs and protects their rights.

Overall, we found that Harbour Care Home was meeting this essential standard.

User experience

We saw that the people who use the service were making choices about their lives and were part of the decision process. People had their own individual routines which were respected. One person who uses the service said they were very satisfied with the care offered and given. They felt that the home offered good quality care and that staff were receptive to their comments and suggestions. Everyone spoken to told us they were happy with the care and support received and that their independence was encouraged.

People using the service discuss matters relating to how the service is run and issues that affect everyone in the home. They said that they felt the staff listened to what they said and that they are given support to make their own decisions.

A relatives told us that staff had supported their son to contribute to their plan of care and that they were kept up to date with regard to their welfare and wellbeing.

Other evidence

We reviewed and discussed with staff the care records of two residents at the home. These had sufficient detail and guidelines about the support needed to meet people’s needs. They had an assessment of need, details on how to support the person or what assistance was to be provided. Guidance for staff was available so that they supported people consistently with actions that achieve the desired goal. The care plans were regularly updated.

Whilst documentation viewed was person centred it contained limited evidence of any direct involvement by the individual that the care plan was about. The team leader stated that she would ensure that this was better evidenced in future.

Whilst it was accepted following discussions with people who use the service that life planning and social needs are very much taken into account and comprehensive key worker notes were kept the care plans viewed did not fully document this in plans of care seen. In that they did not show the individual long term planning, goals, pathways to independence, hopes and activities preferred.

Risk assessments had been completed as part of the care plan and these were personalised for each individual. Where the risk assessments result in a restriction on an individual’s freedom, this has been agreed with the person using the service and is kept under review with the individual.

Care records and specific health care records seen showed that residents had access to a range of health care professionals when needed and they had regular health checks.