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Inspection report

Date of Inspection: 24 November 2011
Date of Publication: 30 December 2011
Inspection Report published 30 December 2011 PDF

People should be treated with respect, involved in discussions about their care and treatment and able to influence how the service is run (outcome 1)

Meeting this standard

We checked that people who use this service

  • Understand the care, treatment and support choices available to them.
  • Can express their views, so far as they are able to do so, and are involved in making decisions about their care, treatment and support.
  • Have their privacy, dignity and independence respected.
  • Have their views and experiences taken into account in the way the service is provided and delivered.

How this check was done

Our judgement

People who use the service are respected and involved in their care and supported to make choices and express their views where possible.

User experience

Most people were not able to comment directly on this outcome area due their complex needs and communication difficulties.

The people who we were able to speak with told us that they were happy living in the home, liked the staff who looked after them and had lots of friends there.

Some of the comments included “I like the staff and my key worker” and “I like living here”.

People who we spoke with told us that staff supported their independence and that they enjoyed learning new skills. Some of the young people have limited, supported employment on the site such as working in the café and completing the staff meal orders. One person told us “The staff help us. I like my job, I do the staff toast”.

Other evidence

During this visit we spoke with people who use the service, spoke with staff, observed care and looked at care records.

We looked at the records for people using the service and found that individual support plans included their personal goals and preferences. Records such as care plans, person centred planning meetings and diary notes demonstrated that people using the service were involved in their care, treatment and support options.

We saw a good example of the thoroughness of the assessment process in one person’s records. This had included the person’s family attending a staff meeting to discuss the individual’s specific needs and efforts taken to closely replicate the person’s bedroom décor and furnishings from their previous placement. The manager confirmed that the admission and transition process had been very positive and successful.

People who use the service told us that they were given choices in planning their care and that they felt involved and were able to make their own decisions with support. Two people told us how they had chosen their own key workers. We saw photographs of people being supported through this process. One person told us “I chose her because she is nice and teaches me lots of things”.

The manager told us about the “Inclusive Club” which is run by staff and people who use the service. The club is responsible for fund raising and arranges many of the events, activities, trips and holidays. We were shown a new introductory DVD about Roxby House which had been made by the staff and featured many of the young people residing at the service. We were told how people were busy preparing for the forthcoming awards ceremony, many of them involved in making the replica “Oscar” models.

We observed staff interacting positively with people living in the home. People appeared relaxed and confident with the staff and we saw they were given choices and supported to make decisions. People had their privacy and dignity maintained.