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Archived: Partridge Care Centre Requires improvement

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Inspection report

Date of Inspection: 8 August 2012
Date of Publication: 21 September 2012
Inspection Report published 21 September 2012 PDF | 76.02 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 08/08/2012, observed how people were being cared for, talked to staff and talked to people who use services.

Our judgement

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

User experience

As some of the people living at the service were unable to communicate with us verbally, we observed their care and treatment. We saw that people were assisted to mobilise when required and that suitable care was given when people were experiencing heightened moods.

People told us that they received good care and support.

One person we spoke with told us they felt well cared for at the home and their right to maintain their independence was respected. They said they had recently had “a couple of falls that were not really falls at all”, explaining that they had just gotten up too quickly and then become dizzy before sliding to the floor. They added, “They made a fuss and want me to use the buzzer to call for help, but I want to carry on doing what I can for myself, and they do let me.”

Another person said, “I feel very satisfied and very well cared for here. I would not want to live with my [relatives] and am quite happy and comfortable here. Anything you want; you can ask the [staff]. I have a choice of meals and drinks and plenty of them, there are activities, I like to sit in bed and read and can do that, I am quite content.”

Relatives of a person living at the service explained how their relative had felt unsettled when they were living in a different unit at the home. They explained that a care worker had told them that they thought their relative would be happier in a different unit and that their relative had subsequently moved. They explained how their relative was much happier and settled since being moved. In relocating the person, the service had ensured their welfare.

People that we spoke with told us what activities that they liked to do, such as painting or gardening and we saw that this was reflected in their care plans. A relative said that their relative "always seems to be doing activities. I always see pictures. Sometimes I come in and [they are] away doing something."

Another relative told us, “[My relative] likes the activities: exercises, sing-a-longs, coffee mornings.”

Other evidence

In the care plans, we saw that there was a thorough assessment of people’s needs. The initial assessment considered people’s medical needs, behaviour, communication and social and religious requirements.

There were pertinent risk assessments on the files which dealt with the risks that were relevant to the individual concerned and dealt with how these risks were going to be managed. Risk assessments considered equipment used, continence, skin integrity, personal hygiene, falls and nutrition, for example. The risks were related to a care plan to ensure that care and treatment was planned and delivered in a way that ensured people’s safety and welfare.

We saw that, on the whole, risk assessments were reviewed and updated in accordance within the timescale required. We did see in some of the care plans that there was a month whereby reviews had not been carried out, but we saw that the reviews had been carried out regularly in previous months and the subsequent month so that the risk to the person was minimised. The Registered Manager explained to us that this had been a particularly difficult month at the service and was not, therefore, usual practice.

The reviews of the risk assessments were meaningful and reflected changes in the person’s needs. Where there was a significant change, we saw that new care plans were put in place. For example, we saw that one care plan for mobility was re-written in February 2012 as the person’s mobility had decreased. This ensured that there was up to date and relevant information available to meet the person’s ongoing needs.

We had received notifications prior to our inspection indicating there had been a significant number of falls at the service. We saw that people at risk of falls had been placed on more frequent observations and that there were sensor mats put in place as appropriate to alert staff of when the particular person was getting out of bed. We also saw that furniture had been positioned to minimise the risk of falling during transfers.

We asked staff at the service what they would do if they knew someone was at risk of falls. They discussed the use of a falls risk assessment and care plan and the use of additional equipment such as bed rails. This helped to ensure that people’s health and safety needs were met.

We saw that people’s activity needs were met at the service. During our inspection we saw a pool competition and memory games. When people at the service said that they did not want to partake in a game, the activities co-ordinator sat with them and had a small group chat, which people enjoyed.

We also saw the activity programme for July 2012 up to 20th August 2012. This detailed daily activities held at the service which had an Olympic theme. This included various competitions such as darts, singing and quizzes.