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Inspection report

Date of Inspection: 18 October 2013
Date of Publication: 3 December 2013
Inspection Report published 03 December 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 18 October 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 staff and reviewed information given to us by the provider.

Our judgement

Care and treatment was planned and delivered in a way that was intended to ensure people's safety and welfare.

Reasons for our judgement

The people we met were not able to tell us directly about their care experiences. We therefore used observations, looked at people’s care records and spoke with some of the staff.

Although people living at Hylton House had no verbal communication, staff supported and encouraged people to be as fully involved as possible and respond in their own way. The staff we spoke with showed us they had a detailed knowledge of people's needs and knew how to provide care and support for them. Staff were able to identify with the gestures and reactions that people gave and what these were likely to mean. We observed staff treating people with respect and saw people were comfortable and relaxed in their company.

People's needs were assessed and care was planned and delivered in line with their individual care plan. We looked at two people's care records during our visit. Care plans were very detailed and captured all areas of the person’s life. They contained clear guidance on the areas of support people required such as how to communicate effectively, people's morning and evening routines, details of any health conditions and how people would like personal care provided. People’s care needs, choices and preferences were recorded and written in a person centred way such as “things I like to do “and “how I communicate”. There were also guidelines and specific plans in respect of individual needs such as mobility, eating and drinking and epilepsy.

Records showed that people had opportunities to experience a variety of activities and events that met their social and physical needs and interests. These included college, hydrotherapy sessions, sport ability, aromatherapy, meals out and trips to places of interest. We were told that an activities co-ordinator visited the home three mornings a week and staff had been trained to use 'creative interaction therapy' to meet people's sensory needs. Activities included drama therapy and music sessions.

Records told us that people's care plans were regularly checked and updated where necessary. Review meetings were held at least every six months to make sure the service was still meeting people’s needs. These reviews involved care managers, family and other representatives such as healthcare professionals to ensure people’s best interests were represented. Each person had a designated member of staff who acted as a key worker. The key worker wrote monthly reports about the person's daily experiences, activities, health and well-being and any other significant issues. This helped staff to monitor that the planned care and support was meeting people's needs.

Care and treatment was planned and delivered in a way that ensured people's safety and welfare. Records showed that staff had followed the advice and guidance provided by visiting health and social care professionals. For example, each person had a specific support plan for eating and drinking following involvement from the Dysphagia team. (Dysphagia is the medical term for swallowing difficulties) This helped staff understand how to support the person’s physical needs and preferences and manage any risks. The plan gave detailed guidance on how each person should be supported and the type of eating aids or equipment that must be used. It included pictures and photographs and was also available as a place mat on the dining table for staff to refer to. Where support was required with personal physical care, guidance was available on how specific tasks should be undertaken.

All appointments with health and social care professionals were recorded and staff had made timely referrals for health and social care support when they identified concerns about people's wellbeing. Each person had a health action plan which had been kept up to date and reviewed regularly where people's needs had changed. This showed that people received the support that they required with their health and social care needs.

Records showed that the risks people may experi