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Archived: Partridge Care Centre Requires improvement

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Inspection report

Date of Inspection: 14 September 2011
Date of Publication: 4 October 2011
Inspection Report published 4 October 2011 PDF | 48.9 KB

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 reviewed all the information we hold about this provider, carried out a visit on 14/09/2011, observed how people were being cared for, talked to staff and talked to people who use services.

Our judgement

The provider is compliant with this outcome. People receive safe and appropriate care according to their assessed needs. Improvements are needed however, to ensure that care plans and care practice continue to be monitored to ensure people consistently benefit from good care.

User experience

People with whom we spoke said “There seems to be a lot more staff than there used to be. In a way it doesn’t really affect me at all because I can do most things myself.”

People told us they were offered some social stimulation, one person said “Last week we went into town with a couple of carers. We went around the shops and had lunch in a café, ending up with ice creams. We thoroughly enjoyed ourselves. We have asked when we could do it again, they said they needed to make sure that everyone gets a chance to go out. This is the first time I have been out of the home in 18 months.”

Relatives with whom we spoke told us that they had noticed the difference in the premises and how much cleaner it is now. People said that the "Staffing levels were much improved" and they didn't ever worry that their relative was not cared for and never felt uncomfortable. They never saw people distressed and not attended to. They identified however that "There is a better atmosphere now." They said were satisfied with the care provided for their relative.

Other evidence

At our previous inspection visit to Partridge Court Nursing Home in July 2011 we found that people were not always receiving the care and support they needed to keep them safe and well.

This visit, carried out on 14 September 2011, was to assess improvements that the provider had made following our visit on 14 July 2011 and the service of a warning notice about the provision of safe and appropriate personalised care.

We did this by looking at the care records held by the home, observing care practice throughout the home and by talking with people using the service and their relatives.

We found that care records had been reviewed to ensure risks to people's health and well being were identified and planned for. The care records provided staff with the information they needed to support people appropriately and safely. Some areas of the records would be improved by more detailed information. The Rushcliffe senior management representative in charge of the home on the day of our visit acknowledged the need for more detail and confirmed this was work in progress.

Each care plan we saw had a photograph of the person at the front. In many cases the photograph did not represent the person in a respectful manner, in many of the images we saw the person was not well groomed and appeared unkempt. This did not accurately reflect how people appeared on the day of our visit. This was discussed with the Rushcliffe senior manager on duty in the home on this day. They agreed that this was not dignified and undertook to have up to date photographs taken of people.

Our observations throughout the home were of a calm and relaxed environment. People look well presented, their clothes were clean and matching, hair and nails were clean and tidy.

Throughout the home we saw that drinks were available within people's reach where appropriate. In one unit we saw that staff sat with people and encourage them to drink, staff noticed when drinks were finished and replenished them. We noted people were not offered a choice of tea or coffee, they were just given tea. We spoke with the member of staff giving out the drinks who confirmed that nobody had been offered coffee and confirmed there was no coffee on the trolley. This practice does not allow people to make meaningful choices.

We saw that people were given plates of biscuits with their mid morning drink. These were well received by people during our observations. This practice demonstrates treating people with respect and dignity and also taking the opportunity to support additional calorie intake, often so important in units for people with dementia. We noted a staff member sat with a person using the service and supporting them to eat biscuits by helping them to dip the biscuit in their tea.

We noted that when staff had the need to leave a communal area for any reason they confirmed with other staff members that they would remain to supervise people. This has helped to ensure that people are not left in communal areas unattended, at risk of falls and isolation.

We saw medication being administered in a gentle, unrushed and sensitive manner, staff sat with people calmly whilst they took their medication.

We saw some examples of good care practice during our visit. One example being where a person using the service was escorted into the communal lounge area by two care staff members. A nurse on duty noted the person had not had a shave. They addressed this by gently stroking the person’s face and talking with them about why they had not had a shave today. The nurse also checked with the care staff who were able to give the reason why this person had not had a shave.

We saw that one person was becoming anxious when another person had taken their armchair. Staff smoothly calmed the situation down by using distraction techniques to create a diversion which diffused the situation.

We saw a staff member gently escorting a person who was becoming agitated out into the