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Archived: The Yachtsman Rest Home

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Inspection report

Date of Inspection: 7 March 2011
Date of Publication: 18 May 2011
Inspection Report published 18 May 2011 PDF

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People should get safe and appropriate care that meets their needs and supports their rights (outcome 4)

Not met 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

Our judgement

All relevant health information is not included when reviewing care records which affects the care and support provided.

User experience

We asked people living in the home and their relatives about the care and support they received and were told the staff were supportive and were always cheerful. Relatives spoken to said people were well cared for and staff were cheerful and kind.

One relative we spoke to said “The whole family is very grateful for the care provided by staff and said “They are always so kind and they go the extra mile”. Another relative said “The staff take good care of my husband and I am not anxious about him as I used to be.”

Staff spoken to said they do not get involved in writing care plans but do write daily reports and inform senior staff of any concerns about individuals living in the home

Other evidence

During our visit we observed care practices. We saw staff supporting people living in the home. In most cases the care was effective and safe but we saw one member of staff pulling a wheelchair along a corridor backwards, with no footrests on the chair and the heels of the person in the chair being dragged along the floor. Such practice is uncomfortable and unsafe and must not happen.

Staff were assisting people with daily living tasks cheerily and sensitively, chatting to people as they supported them in their care.

The manager said care plans are in place for each person living in the home, and they try to get as much information as possible about each person. However she acknowledged that relatives were not always approached for information where relevant. She said that personal care plans are updated on monthly basis or if an individuals condition changes.

We checked a small number of care records. We were concerned to find that after a medication increase one person’s state of alertness significantly changed. Staff recorded this in daily notes but this was not picked up on care plan reviews which were carried out monthly and there was no evidence that any action was taken or medication reviewed.

The individual was observed during the visit. The person did not have lunch during the inspection due to being asleep and difficult to wake, and has missed some other meals recently. Also records show that staff have been unable to weigh the person so it is not known if there has been any weight loss. There was no evidence to show that staff were observing for weight loss. Reviews of care plans need to be accurate and take into account all issues. Any changes to health must be followed up on and records kept of any interventions.

Staff support people with activities. When we visited the home we saw that people were involved in a variety of games and activities on a regular basis. There is an activities/ light sensory room. People living in the home, relatives and staff told us about the variety of trips out and entertainers visit the home at least weekly. There are also several trips out each week. Staff supported people to go Ballroom dancing during the inspection.

Information received from social care professionals confirmed that while there have been some problems in the past, the organisation listens to any concerns and acts on these to improve care. Staff in the home work well with them and provide care that they feel is beneficial to people they are working with.