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Inspection report

Date of Inspection: 11 August 2011
Date of Publication: 20 September 2011
Inspection Report published 20 September 2011 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 who used services experienced effective and appropriate care, treatment and support that met their needs.

User experience

No service users were spoken to regarding this outcome.

Other evidence

We saw that every person living at Middleton Lodge had a care plan. We looked at the care plans of three people in detail. We saw that the care plan documentation had been vastly improved since our last visit on 28 June 2011.

We saw that the care plans had been fully rewritten so that they identified each person’s holistic care needs. The care plans were “person centred” (this means they were written in a way that described how each person preferred to be supported with their care).

Other professionals involved with each individual had been consulted, and some had contributed to this process. For example, a representative from the Primary Care Trust (PCT) was present on the day of the inspection; she was assisting the manager to implement risk assessments associated with some prescribed medicines.

We saw that care documentation provided up-to-date information about people’s present conditions.

The manager told us that she was waiting for additional input from some other professionals; she told us that on receipt of this information; the care plans would be more detailed and robust.

At our last visit on 28 June 2011 we found that risk assessments were not recorded in enough detail to keep people safe.

During the visit, we found that where people were at risk, there were assessments in place which described the actions that staff should take to reduce the likelihood of harm. For example, one person was at risk of burning them self with hot drinks, the assessment described accurately how to minimise the risk and the drinking aid that should always be used.

Another risk assessment described the potential triggers for one person who was epileptic, and the support they would need during and after a seizure.

The risk assessments that we saw had a built in monthly evaluation process, this meant that risk assessments would always be kept under review.

We saw that support staff promoted service users dignity, rights and choices and supported them to be independent. Each person was treated as an individual and the carers were responsive to their culture, age and disability.

During the inspection all service users and staff appeared relaxed, there was a very calm atmosphere, service users were talkative and were smiling a lot, they were enjoying activities in the lounge and one service user was playing an electric organ, and others were singing along to the music.

Service users and their representatives now know that their health, personal and social care needs will be met. This is because they have agreed a suitable plan of support. People can now be confident that any changing needs they may have will be met, and regularly reviewed.

The manager told us that, for those people who did not have close family input, advocates and other professionals involved in their care would be asked by the manager to agree and sign their care plans and risk assessments.

Overall the care plans and risk assessments were much better than the last time we visited on 28 June 2011.