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Archived: St Lukes Care Home Good

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Inspection report

Date of Inspection: 28 June 2012
Date of Publication: 11 July 2012
Inspection Report published 11 July 2012 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

The provider was meeting this standard. People experienced care, treatment and support that met their needs and protected their rights.

User experience

People who used the services at St Lukes Care Home have a diagnosis of dementia and other age related conditions. This meant it was difficult for people to give their verbal opinions about the service they received. We spoke with people living at the home; we looked at people’s records and how people interacted with the staff. General observations were made throughout the visit and we had discussions with staff and visiting relatives to obtain their views.

We spoke with six relatives and visitors who told us what it was like at the home and how staff provided the care and support. Relatives and visitors we spoke with made the following comments:

“They always look after my relative very well.”

“The staff are marvellous. I couldn’t ask for more.”

“They even take the residents out on their day off.”

“The staff helped us to celebrate a very special occasion."

“I have been involved in her care plan and have read through it and checked it all.”

“I have looked at her care plan and signed it.”

“The staff have a lovely attitude and are caring to the residents.”

“My mum has a key worker. If I have any issues I see her.”

“My relatives are safe and cared for.”

“They will always get a GP for her if she needs one.”

“The staff always let me know if my mum is ill and needs a Dr.”

Other evidence

At the previous inspection in December 2011 the provider was found to be non compliant for this standard of care and welfare of people who used the service. This was because we found initial assessments were not always sufficient. The provider sent us information to show us the actions taken to ensure compliance. We therefore assessed this outcome at this inspection to check on the improvements made.

Since our last visit to the home in December 2011, there had been one new admission. We viewed the assessment and found this was completed with the individual or their representative, prior to admission. The assessment contained information on the person’s health, personal and social care needs. The assessment included the person’s mental capacity, which determined if they were able to make their own decisions. We found consent had been obtained from their representative regarding their care.

During the visit we looked at three people’s care files. Their care plans showed each person’s needs including: well being, areas of risks, mobility, bathing, personal care, medication and social interests. Monthly reviews of care had been undertaken and changes recorded. Care needs were monitored daily by the staff through handovers and the completion of daily records, which recorded daily care given. Any changes noted by staff were dealt with on the day. Their comments included: “We have daily handovers to ensure that things are passed onto staff.”

Care records evidenced consent to people’s care and treatment, which had been obtained from the people who lived at the home, where possible, or their representative.

We spoke with a number of staff who demonstrated their understanding of peoples individual care needs and it was evident that they knew the people well.

We observed staff attending to personal care, such as hoisting. This was undertaken with a dignified and pleasant approach to the people and staff provided reassurance and encouragement at all times.

The staff told us they had a good relationship with other health care professionals who provided additional care and support to people when required.This was confirmed on the day of the visit when a GP was contacted for a person who was unwell. The relatives were satisfied with the appropriate action taken.

We observed the staff responses to call bells where people required assistance. We found staff responded within a reasonable timescale.

We observed the lunch time period. Meals were provided in the dining room, lounges and people’s own rooms. Staff were attentive at all times to assist during meals if needed in an unhurried manner. Visitors told us that they help their relatives at meal times as this is their wish. People we spoke with told us the food was good and choices were available. Menus of the day were displayed.

There was a pleasant, relaxed, homely atmosphere in the home. People we spoke with provided positive comments regarding the staff employed.