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Archived: The Yachtsman Rest Home

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All reports

Inspection report

Date of Inspection: 15 September 2011
Date of Publication: 19 October 2011
Inspection Report published 19 October 2011 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

Our judgement

Care plans and risk assessments have been improved with more detailed information about their care needs. However staff need to develop risk assessments in relation to people going outside where they are able to.

User experience

People living in the home were complimentary about the care and support they received. One person said, “Staff are very good, work very hard with a difficult job to do. I have no complaints”. Another person said, “Staff are very kind, they go out of their way to help” People spoken to said the staff were very helpful. One person said, “Staff are willing to go the extra mile”. Others said staff were kind and patient.

One person commented “I would like more fresh air, not necessarily for a walk with a carer but just to be able to go outside and walk around the building”.

People felt that the home was kept clean and was pleasant to live in. One person said sometimes they were cold but others said it was too warm or it was comfortable for them. Staff were advised to remind people to speak to staff if they were not comfortable with the temperature or anything else. People living in the home were full of praise about maintenance of the home. They said any repairs needed were promptly attended to and that they were very happy with this.

A member of staff talked to us about the new care plans. She found the new care plans informative but she found them difficult to follow but only in the sense that they were new and she had been used to the old system. She talked about her key worker role and was able to tell us which people she was Keyworker for and the type of things that she needed to do for them. Another member of staff told us that the care records were much more detailed now and gave a lot of helpful information.

Some people living in the home commented that the laundry service was not as good as it had been previously. They told us that the laundry person who had previously dealt with all the laundry had changed jobs in the home and all staff had become involved in doing the laundry. She had known whom items of clothing belonged to and quickly returned them. Since she had moved jobs clothing went missing more often and it seemed to take a while for articles of clothing to find there way back to the relevant person. The owners and manager said they would look at how to improve this.

Other evidence

We observed staff interacting with people during our visit. Staff supported people living in the home well. They were assisting people and talking to them as they went about their tasks and were attentive if anyone needed them. We observed staff involvement with people living in the home throughout and after lunch. We also talked to some people living in the home in a small group and some people individually during our visit.

At the last review we had some concerns about the lack of information in some care plans. At this review the care plans were much improved. All care plans checked had more information in than previously, although some would still have benefited from more detailed guidance about specific areas of care. However the manager had redeveloped about a third of the care plans to include included detailed information about the care and support needed written in a well personalised easy to read way. These clearly described how to support each person in a way they wanted. Staff were still getting used to the new care plans but one person said they thought they would be very helpful once they got used to them.

Records showed that where one person, as a result of a medication change, had become very lethargic. Staff had contacted the GP and this medication was discontinued. The person was more lively and alert as a result of this intervention.

Records also showed that one person had times when they became upset and very anxious. Information was in place showing how best to support the person when they seemed to be getting upset and what strategies may help them during this time. This was easy to follow and helped staff to manage the person’s behaviour effectively.

Care plans contained appropriate risk assessments that had been regularly updated. These included where people wanted to go out alone and were unable to do so as they would not be safe. Where this occurred staff had involved family and other professionals and had gone through the correct procedure to make sure they were looked after safely.

The home has a key pad on the front door so that people who would not be safe going out of the home alone, do not leave the home when staff are supporting others. Staff are in the lounge with people living in the home but the home is on a main road and close to traffic and some people could be at risk if they walked out alone. They are able to go out but for some people this is with staff support. Although staff routinely completed risk assessments when there was a concern about a persons road safety, they had not looked at how best to make sure others could leave the building when they wanted to.

During the warmer weather the front door had been open and a member of staff remained in the garden to support people. As the weather had become cooler this had stopped. One person had not realised they could still go outside if they wished. Staff need make sure that those who wish can go out of the home as they want and make them aware of this.