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Archived: Cheverells Care Home

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Inspection report

Date of Inspection: 22 June 2013
Date of Publication: 19 July 2013
Inspection Report published 19 July 2013 PDF | 83.9 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 22 June 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 staff and reviewed information given to us by the provider.

Our judgement

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

Reasons for our judgement

People told us, “I couldn’t have come to a better place” and “the girls are nice, the food is good, my room is lovely and I’m not told what to do!”

A pre assessment was carried out when a person was considering living at Cheverells. The information gathered from the person, family, health and social care staff formed part of the initial care plan. If a person came to live at the home, one of the senior carers sat with them and completed a more detailed care plan. We saw the care records of the six people we spoke with and looked at five care files. We saw that the care someone received reflected their needs and focussed on their strengths where possible. There was information about the person, what they liked doing, and what they were capable of doing for themselves. The care plan identified the areas where people needed assistance and support and these areas were carried forward to develop a risk assessment. For example, we met with two people who liked to be as independent as possible and wash themselves. Both people had mobility difficulties and this put them at risk of falling. This was in their care plan and staff were conscious of this so they were checked frequently. Staff were monitoring the situation and planned to support both people to wash when they felt they could no longer manage this. This demonstrated people’s independence was respected, their wishes and their right to take informed risks.

We spoke with staff about how they would manage a person's care if they were losing weight. The staff we spoke with told us they complete a nutritional assessment tool which identified if people were at risk of malnutrition. Staff then discussed this with the persons doctor or the district nurses and a course of action to prevent further weight loss was agreed and followed. We spoke to one person who told us their bottom was sore. When we talked to staff about this person, the staff were aware of this and had a plan in place to turn them every two hours to relieve the pressure. The staff were consulted with the district nurses and followed their advice. One person we spoke to said, “…they know what they are doing, they treat me with dignity and respect.” Another person told us staff assisted them with the incontinence pads they needed and said, “…yes, they maintain my dignity always…..I’d wallop them with my stick if they didn’t!”

As we met people at the home, we saw there were a number of chair lifts, hoists and hand rails to support people to move freely around the home. There was a bell above the door to alert staff if a person left the building. This helped to ensure people's whereabouts were known if they wandered. We saw that people had call bells within their reach and these were responded to promptly. Staff wore uniforms and all staff had name badges on so they were easily identifiable to people living at the home and visitors.

We saw people had their own belongings in their bedroom and they told us they were wearing clothes they had chosen to wear that morning. People told us this made it feel like home. People told us about the activities which occurred at the home and we saw a detailed activity programme across the week. Activities included bus outings, quizzes and exercise to music sessions. One person told us about a recent outing to Exmoor, “……baby ponies and a pack of deer, a lovely trip……..baby lambs following their mothers.” Another person told us they played bingo and it helped to pass the time. We saw people in their rooms doing their hobbies such as crosswords. These activities were important to help people and help to keep their minds stimulated and they encouraged social interaction.

We saw that every person in the home had an evacuation plan in place in the event of a fire or an emergency. This was in their care files. There was a separate sheet to give to the emergency services. This plan detailed what support they would require to leave the building. These plan