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Archived: Orton Manor Nursing Home

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Inspection report

Date of Inspection: 24 June 2013
Date of Publication: 11 July 2013
Inspection Report published 11 July 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 24 June 2013, observed how people were being cared for and talked with people who use the service. We talked with carers and / or family members, talked with staff and reviewed information sent to us by commissioners of services.

We used the Short Observational Framework for Inspection (SOFI). SOFI is a specific way of observing care to help us understand the experience of people who could not talk with us.

Our judgement

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

Reasons for our judgement

Not all people were able to verbally tell us about the care they received and if they were happy. We, therefore, observed how staff interacted and supported people in communal areas, to enable us to make a judgement on how their needs were being met. We heard clear, sensitive communications between the staff and people using the service. The staff took time to listen and wait for responses during conversations. This meant people were not rushed and were given time to understand the information offered.

We observed two staff move a person from a wheelchair into a lounge chair with the aid of specialist equipment. This was done in a calm and reassuring manner. The staff spoke with the person as they performed the manoeuvre explaining what they were going to do. We heard one staff member ask the person if they felt comfortable and the person said they were.

We looked at the care records for three people and saw these were being completed by staff and were well maintained. The care records were specific to the person concerned and gave information about their individual needs and wishes. They covered people's health and personal care needs and included information about their previous lifestyle including social and any spiritual needs. This meant that staff had the information they needed to provide people with appropriate care that met their needs in the way they wanted.

We saw there were assessments about people’s well-being to identify where people may need some care and support. There were assessments for people’s nutritional and dietary needs, and about their skin integrity. We also saw there was information about people’s preferences and decisions for their end of life care.

The care plans were supported by risk assessments that identified task orientated activities that might cause a potential risk to people. For example, these gave guidance to staff about how to carry out moving and handling procedures safely.

Records showed that appropriate medical assistance was sought where there were any concerns about people’s health. Records also showed that people were supported to access chiropody, the optician, dental care and other health care services when needed. This meant that people’s health care needs were met.

We spoke with staff about the care they provided. We found that staff had good knowledge of the needs of people living at the service and that staff took account of the information in the care plans when providing support. This meant that staff understood the needs of the people who lived in the home.

The service employed an activities organiser and we saw that she actively engaged people in a range of pastimes. This included games, arts and crafts, reminiscence and music sessions. The activities organiser explained that sometimes people were not interested in what had been arranged so they offered alternatives. She told us she regularly went to see people who were in their rooms, particularly those who were on bed rest. Individual activities included reading to people or providing a hand massage and manicure.

We saw an activities planner displayed on the wall which detailed what activities were planned on a daily basis. We also saw posters informing people and their relatives about the various external entertainers that had been arranged for the forthcoming weeks. This meant people had opportunities to be involved in activities which promoted their wellbeing.

The people we spoke with who lived in the home all told us that they were happy and had no complaints about their care. One person told us, “The girls are great.” Another person said, “You don’t want for anything in this home, I would recommend it to anyone.”

Visiting family members we spoke with all told us that they felt their relatives were well cared for. One visitor said, “People are treated as individuals here and you know they are well looked after”. Another visitor told us, “I can’t fault them they do everything the