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Inspection report

Date of Inspection: 9 July 2013
Date of Publication: 31 July 2013
Inspection Report published 31 July 2013 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

We looked at the personal care or treatment records of people who use the service, carried out a visit on 9 July 2013, observed how people were being cared for and talked with people who use the service. We talked with carers and / or family members, talked with staff and talked with commissioners of services.

Our judgement

People experienced care, treatment and support that met their needs and protected their rights.

Reasons for our judgement

Peoples’ needs were assessed and care and treatment was planned and delivered in line with their individual care plan in a way that ensured their safety and welfare.

During our visit to Kimbolton Lodge, we looked at the care plans for six of the people who lived at the home. Each person had their plan of care in their bedroom. The records were individualised and gave staff information and guidance about people's preferences and care needs and how best to meet these. Staff confirmed that they referred to them regularly. The non-qualified staff told us that if they noted something that needed to be updated they would write it in their notebook and report it to the nurse to make the alterations. Additional records, including information about previous medical history and current medical needs, were stored in the office. This meant that where possible people who use the service, or their relatives, could be involved in planning their care.

We saw people were able to continue to visit their local dentist and optician with the support of staff or a family member.

Risks, including pressure areas, falls, nutritional and manual handling needs were assessed and kept under regular review. These gave staff guidance about the level of assistance a person required.

We saw that where appropriate fluid charts and turning charts were used. Staff completed the documents and recognised any deviations from normal. We also observed a morning handover and heard the night staff reporting any findings and observations they had undertaken to the day staff. We were told these full staff handovers took place twice a day and we saw records of the information given.

A wide range of activities were on offer in this home, including trips out to the town and to the theatre. The activity co-ordinator encouraged the people using the service to plan and deliver the group activities such as bingo, a reading club and sewing group, allowing the activity co-ordinator to concentrate on those individuals who could not, or did not, wish to participate with others.