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Inspection report

Date of Inspection: 22 May 2012
Date of Publication: 21 June 2012
Inspection Report published 21 June 2012 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’s privacy, dignity and independence were respected in a very person centred way.

The provider was meeting this standard.

User experience

People’s privacy, dignity and independence was respected.

We spent time in each of the units talking to residents and staff. We spent time with six people who lived with dementia in a communal area on Shillingford. They appeared calm and relaxed with staff and spent time doing what they wanted to do. Staff were attentive and noticed for example if they looked uncomfortable or wanted something to eat or drink. These people were unable to specifically tell us about their experience at the home.

We spoke to one other person from the Alphinbrook unit who told us that they were having a ‘lovely time’ and that they were going off with the musicality therapist to rehearse a song for the upcoming ‘Lucerne’s got Talent’ show.

Staff ensured that people’s dignity was maintained, helping one person to the bathroom in a discreet way and encouraging another person not to lay their head on the table but move to a more comfortable chair. Staff do not wear uniforms on Shillingford unit and we were told that this was to encourage a homely feel. We heard that staff made sure that the television was not on at the same time as the radio.

People who used the service understood the care and treatment choices available to them.

We looked at five people’s care plans. We saw that plans were very personalised and observed that person centred information in the care plans was being used to enable people to do activities that they had enjoyed before they lived at the home. One person had a sewing bag made up by staff as they had been a seamstress in the past. We heard that other people who had enjoyed gardening had been able to participate in a gardening group.

We saw staff interacting well with people living at the home, treating people with respect. For example, staff knocked on doors before entering and all rooms were kept clean and tidy. We were introduced to people before we spent time with them and relatives were acknowledged. Staff offered tea and coffee to them so that they could enjoy their time with the person living at the home.

People were supported in promoting their independence and community involvement.

We heard how people were using the home’s ‘memory lane’ project, which included local landmarks that were built into the home’s décor, to describe where they live. For example, one person said that they live near the ‘garage’. On Shillingford unit, the following were represented, a garage, bank, hat shop, barbers, garden shed, airport, church, pub, bus stop and a takeaway was planned. A lot of thought and care had been taken in building these landmarks such as using local names and places that people would recognise.

Some people we spoke to told us about local community groups they attended regularly and there was a church service in the home on the day we visited. People‘s independence was promoted and we heard that people could move around the home and gardens as they wished. The outside spaces were secure and safe with wheelchair access and circular pathways to enable people to move freely. To minimise people’s feelings of frustration at finding doors locked, exit doors were painted with muted colours and murals such as local landscapes.

Other evidence

People expressed their views and were involved in making decisions about their care and treatment. We spoke to the manager about how the home prepares for new admissions. The home contacts relatives/ advocates prior to admission to ask people to begin to compile a life history, which helps staff care for people in a person centred way. People were also encouraged to think about what personalised pictures and objects they would like to have in box frames that are hung on their room doors so that people are able to identify their rooms more easily.

Each care plan developed included meeting with residents/relatives/advocates as well as the person to ensure that the care plan was relevant, up to date and countersigned. Care plans were reviewed monthly. A summary of people’s care needs was also held in their rooms so that staff could quickly see how care was personalised for each person.

Toilet, bedroom and communal areas were colour coded around doors, toilet seats and décor. This helped to make people who were mobile more independent as they could find their rooms and other areas. In Alphinbrook unit, there was a kitchen and laundry area where people were supported to undertake cooking and laundry to help maintain and their independent living skills.