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Archived: Alexandra Care Home Good

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Inspection report

Date of Inspection: 16, 17 April 2013
Date of Publication: 3 May 2013
Inspection Report published 3 May 2013 PDF | 84.16 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 looked at the personal care or treatment records of people who use the service, carried out a visit on 16 April 2013 and 17 April 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 people who use the service, talked with carers and / or family members, talked with staff and reviewed information we asked the provider to send to us. We reviewed information sent to us by commissioners of services and talked with commissioners of services.

Our judgement

People experienced care, treatment and support that met their needs and protected their rights.

Reasons for our judgement

People’s needs were assessed and care and treatment was planned and delivered in line with their individual care plan. The care plans we saw were well structured. Each care plan showed staff monitored people's weight. This was done on a monthly basis and skin or wound care recorded in the care plan. In the case of the people who had lost a lot of weight a nutritional risk assessment had been completed. A chart was used to prompt staff when the next steps were needed for significant weight gain or losses. In two care plans this was followed up with the doctor and a referral to the dietician. We also looked at other care plans. We saw evidence that this was usually done.

Care and treatment was planned and delivered in a way that ensured people’s safety and welfare. We saw people had risk assessments to cover different aspects of their care. Each person had a care plan to manage these risks. For example where people were identified as having a high risk of falls, we found falls risk assessments were in place. They were being reviewed on a regular basis. The manager explained the home was part of a scheme working with the community teams. This was being used to prevent injuries. This would improve the services offered to people in the care home. We saw people’s needs such as falls prevention or help from the occupational or physiotherapy team was made available to people at the home. Relative’s told us getting the equipment took a while from the time of the assessment. They told us they were not always kept up to date with this aspect of care.

We spoke with two staff who understood the needs of people they supported. They were clear about their responsibilities. Staff told us they followed instructions about treatment. They told us they would notice any problems, such as if a person looked unwell. They would report this to the nurse in charge of the shift. In this way people could have their needs recognised and prevented from becoming worse.

The nurses told us they would refer people appropriately when they required further advice from other the health care specialists. This showed them actively seek help when they needed it to help people at the service. Care plans were being evaluated on a monthly basis and updated as necessary. We found best interest decisions and mental capacity assessments were in progress.