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Inspection report

Date of Inspection: 5 January 2012
Date of Publication: 27 January 2012
Inspection Report published 27 January 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

People experienced safe, effective care that met their needs.

User experience

We found concerns in relation to this outcome on our last inspection of Gregory Court on 12 October 2011. This inspection was used to check on improvements made by the provider Disabilities Trust and to assess compliance.

We spoke to people who used the service. Two people told us they had been involved in the planning of their care. They knew who their key worker was and told us they had recently written the care plan with them. They said they had signed to agree to it and that it accurately reflected their needs.

One person told us that they were happy with their care. They told us that staff carried out their care well and that they phoned for the doctor when needed. They told us that they had been visited by the occupational therapist who had provided them with some new equipment.

People told us that they went out of the home regularly to take part in activities. One person confirmed they attended weekly activity planning meetings. Another person said they attended weekly activities meetings and that they were going out for lunch the next day. Most people were accessing day centres or clubs in their community. A befriending service was being sought for one person to improve their opportunities for social interaction.

Other evidence

We found concerns in relation to this outcome on our last inspection of Gregory Court on 12 October 2011. This inspection was used to check on improvements made by the provider Disabilities Trust and to assess compliance.

We received an action plan from the provider as a result of our last inspection. In it, they told us that, 'All support plans, risk assessments, needs assessments and clinical management plans to be updated; ensuring service users are involved in all aspects of their care and support.' They told us these improvements would be completed by the end of November 2011.

When we visited the service we saw that people’s care files had been updated. The registered manager told us she was checking records made by care workers to ensure that they were written in an appropriate way.

We checked four people’s care records. We saw care plans that were written in a person centred way. They included a life story about the person so care workers knew more about their life before they came to live at Gregory Court. The care files contained information about what the person liked to do to occupy their time. When we spoke to people we found that their care needs matched those identified within their written care plans.

We saw that people’s care needs had been risk assessed. We saw that risk assessments had been reviewed. Care plans had also been reviewed at regular intervals and their weight was being monitored where needed. Records of all visits to the doctor, dentist, by the district nurse or to the hospital were kept. These supported that people had access to appropriate health and medical care.

We saw that there were clearer instructions for care workers about the action needed to maintain people’s health needs. We saw clear instructions in the staff office for the care of one person’s diabetes. This also showed liaison with the community nursing team. Care workers told us that a communication book had been reinstated and this helped them to communicate people’s care needs between shifts.

We saw that people were accessing the community more. Weekly activity planning meeting were being held with people who used the service. There were records kept of the activities that they had chosen to do that week.

Care workers told us they had received training on diabetes and epilepsy since November 2011. They were also knowledgeable about how to care for people who were receiving specific drug treatments.