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Inspection report

Date of Inspection: 10 September 2012
Date of Publication: 1 October 2012
Inspection Report published 1 October 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

The provider was meeting this standard. People experienced care and support that met their needs and protected their rights.

User experience

We asked people using the service for their views on the care and support they received. People told us the care and support they received was planned and delivered in a way that ensured their safety and welfare. People were aware of their care plans and were satisfied with the service they received. One person said “I’m quite happy with the service and staff will ask me from time to time, if the help I get is enough.”

We asked people about their experiences of daily living and routines. People told us they choose how they spent their day. We saw some people read the daily newspaper. One person said “I quite like to read a book from the selection in the library. Another person said “I go out every day for a walk or use the gym.”

People told us that they saw the doctor when they needed to. One person said, “I’ve been seen by the district nurse and she’s very good too.”

Other evidence

Our inspection of September 2011 found people were not given opportunities to participate in activities that were meaningful to them. The provider wrote to us and told us there was a designated member of staff responsible for organising activities for people. We inspected the service on 10 September 2012 and found people took part in individual and small group activity such as craft work. The individual records of people’s social activities and involvement confirmed this people were offered opportunities. People using the service were involved in the planning of the summer fete held in July 2012, which raised funds for Christmas and entertainers.

We selected the records of four people using the service. Records showed people's needs were assessed, risks managed and information about their preferences were used to develop the care plan. People’s care and support needs had been planned and was delivered in a way that ensured their safety and welfare. Care plans were written from the individual’s perspective and preferences, and included sections on maintaining a safe environment, care and personal hygiene, eating and drinking, pressure area care amongst others. Safety measures were included in the care plans to manage risk such as falls. Staff said they referred to the care plans when they supported people with dementia to ensure the way the care and support was delivered was consistent, accurate and safe.

Records showed people’s health issues were monitored. People had access to health care appointments with regards to their physical and mental health. For example, we found record of support and treatment delivered by the district nurse and instructions from the doctor to monitor an individual’s health. People’s weights were measured monthly or weekly if there were concerns about their weights. People needs were regularly reviewed and monitored by health and social care professional. Records showed people were supported with their medication. Staff said they monitored people's health and sought medical advice if people’s health deteriorated. The records we looked at confirmed this.

We looked at other records including the daily records, which were up to date and showed the care and support delivered by the staff reflected the description of needs in the care plan. The care plans were up to date and reviewed regularly.

People's equality and diversity needs were also included within care plans. Where people had particular religious or cultural needs, records we looked at showed arrangements in place to support them. Staff were knowledgeable about how they met people's needs and described some of the arrangements in place to ensure people’s social and diverse needs were met.