You are here

Options Roxby House Outstanding

All reports

Inspection report

Date of Inspection: 10 July 2013
Date of Publication: 13 August 2013
Inspection Report published 13 August 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 10 July 2013, observed how people were being cared for and checked how people were cared for at each stage of their treatment and care. We talked with people who use the service, talked with carers and / or family members, talked with staff and talked with commissioners of services.

We were supported on this inspection by an expert-by-experience. This is a person who has personal experience of using or caring for someone who uses this type of care service.

Our judgement

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

Reasons for our judgement

People’s needs were assessed and care and treatment was planned and delivered in line with their individual care plan.

We looked at the care records of six people who used the service. We found that their care and treatment was planned for and delivered in a way that was intended to ensure people's safety and welfare.

We saw that prior to people being offered a place at Roxby house, an assessment of their needs was carried out by the registered manager. The manager told us that if they felt the person’s needs could not be met, then a place would not be offered. In the situation where the person’s needs could be met, a transition plan would be developed.

When people were ready to move on from the service to more independent living a transition plan was also developed with the individuals involved. The plans included decisions about where people wanted to live and how they would be gradually introduced once suitable placements became available.

People who used the service were observed to be individual in style and dress. We were told that for those people unable to make a choice, staff would display various options and this assisted with promoting their independence.

We looked at the care plans for six people and found that detailed information about their care and support had been developed from comprehensive assessment processes. Individual person centred planning meetings had been held for each person and care plans reflected their individual needs, personal goals and preferences. Where people needed the information in different formats for example, in a pictorial format, this was in place.

We found that care plans had been evaluated monthly and records for the recording of people's weight, fluid intake and health needs were maintained. Where needs had changed we found that care plans had been updated to reflect these changes

Discussions with staff showed that they were knowledgeable about people's care needs and the care required to meet needs. We found that professional advice had been sought where they had identified any issues relating to a person's health. For example; physiotherapy, occupational therapy and district nursing services.

Care and treatment was planned and delivered in a way that ensured people’s safety and welfare. Each file we checked contained details about the risks people might be vulnerable to or may present. For example each individual had an assessment to establish if it was safe for them to have a fob to access their own unit, or whether they needed support from their 1:1 worker with this to keep them safe. We found these risks had been regularly reviewed so the information remained up to date. We also saw various tools that were used to monitor things like people’s weight and health needs, together with evidence of liaison and involvement with appropriate health professionals where needed.

People who used the service had individual management plans in place, which were specific to the needs of the individual. These included; going out in public places, medication, epilepsy and behaviours that challenged the service and detailed signs, triggers, symptoms and how the person may present. We also saw these detailed signs, triggers symptoms and how the person may present. The plans were specific gave direction to staff and stated that the least restrictive technique should be applied first. They stated that physical intervention and the use of 'as required' medication was only used as a last resort.

The care files showed that when people were unable to sign their care plan this was discussed with their relative. The relative signed to say they had seen the care plans and agreed the contents reflected the care the person should receive. We saw detailed daily notes had been completed which recorded how people had spent their day and actions staff had taken in response to changes in their needs.

There were a range of activities available both on site and in the local community. These include