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Thornfield Care Home - Lymington Good

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Inspection report

Date of Inspection: 21 October 2011
Date of Publication: 28 November 2011
Inspection Report published 28 November 2011 PDF | 49.26 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 21/10/2011, checked the provider's records, observed how people were being cared for, looked at records of people who use services, talked to staff and talked to people who use services.

Our judgement

People who use the service received care, treatment and support that met their changing health and welfare needs. Overall, we found that the service was meeting this essential standard.

User experience

People we spoke with told us they were getting the care and support they needed and that staff treated them well. They said that staff were “always ready to help” and responded quickly if they asked for assistance. They told us that visitors were always made to feel welcome.

People said that the food provided was good and there was always plenty to eat and drink. They said that they could have an alternative meal to the main menu if they wished.

We observed staff supporting people in ways that upheld their dignity and promoted their independence as much as possible.

Other evidence

We looked at a sample of care records for people using the service. These contained assessments of individual’s care and welfare needs and guidance for staff on how to meet them. Monthly evaluations were recorded to check that the information was up to date and any necessary changes had been made. The records also showed the service involved and co-operated with external health and social care professionals to promote people’s health and welfare.

We found that it was sometimes difficult to track the care provided to individuals, due to the way that records were written and stored. The Deputy Manager assisted in finding the information we asked for. Daily care notes provided evidence that the care was being delivered to meet the assessed needs as stated in the care plans. Individual risk assessments were included in each care plan, including people’s mobility and risk of falls.

Through a sample of records and discussion with the Deputy Manager, it was apparent that on occasions during the late afternoon staff had dressed some people for bed. The Deputy Manager explained that for two people this was part of their care plan carried out on the advice of the District Nurse, due to the risk of pressure sores. This had not been the case for another person and the Deputy Manager was able to show us a record of how she had addressed the issue with staff. During our visit we did not observe people being dressed for bed early.

The provider told us that the service had a contingency plan in place, to ensure that the needs of people using the service would continue to be met in the event of an emergency.