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Inspection report

Date of Inspection: 8 September 2014
Date of Publication: 11 October 2014
Inspection Report published 11 October 2014 PDF | 80.62 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 8 September 2014, 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, reviewed information given to us by the provider and talked with commissioners of services.

We reviewed all the information we have gathered about Voyage 1 Limited - 3 Edith Road (Tregona) and spoke with the registered manager and the provider's local operations manager.

Our judgement

People experienced care and support that was planned and delivered in a way that was intended to ensure people’s safety and welfare.

Reasons for our judgement

The relative we spoke with told us they felt their family member's needs were being met and their care was delivered in the way they preferred.

We looked at two care plans. They were clearly written and person centred. We saw they were based on in depth assessments that were reviewed and updated as people's needs changed. The assessment process included identifying any equality and diversity needs or preferences the person was known to have. We saw staff assessed and documented levels of independence in all areas of care. The plans took those into account when setting out the assistance the person required in order to help them maintain their independence.

Risk and other assessments were incorporated into the care plans. For example, care plans related to the person's mobility included risk assessments along with instructions to staff on how the person mobilised and what assistance they needed. Any risks identified during the assessment process were seen to be addressed, with staff actions to reduce the risk being included within the person's care plan.

We saw care plans and risk assessments were routinely reviewed and any identified changes were documented. Changes or newly identified needs had been added to care plans and any actions taken in response were clearly recorded. Where changes were identified, appropriate actions were taken, for example, consultation with, or referral to, an external health professional.

Annual formal review meetings were arranged for each person and involved the people, their relatives or representatives, local authority care managers and relevant others. We saw minutes of those meetings which showed all areas of the person's care had been discussed. We saw that where suggestions had been made the staff had taken action. For example, for both people living at the home suggestions had been made that their daily social activities be increased. We saw staff had been slowly introducing new activities for the people to try, for example, wheelchair ice skating.

Each person had a health action plan. The plans showed people had regular health assessments from their GP and that other health check-ups and appointments were arranged as needed. The manager had recently requested a visit from the local nutritionist. This was so that the meals and food provision at the home could be assessed to ensure they remained suitable for the people living there.

We looked at the daily notes written for each person and saw they reflected care was delivered as planned. Staff recorded activities people had been engaged in as well as what they had to eat and how their mood had been. The care plans showed people's needs and any risks to their welfare and safety were assessed. The daily notes and health professional notes showed care and treatment was planned and delivered in line with people's care plans.