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Inspection report

Date of Inspection: 17 December 2012
Date of Publication: 15 January 2013
Inspection Report published 15 January 2013 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

We carried out a visit on 17 December 2012, observed how people were being cared for, talked with people who use the service and talked with carers and / or family members. We talked with staff.

Our judgement

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

Reasons for our judgement

We looked at three people’s care plans out of a possible six. We were told that the “all about me” section and some information were held clerically and the other information such as daily notes and care plans were held on a computer system called “Caresys”. We were able to look at both sets of records.

We saw that people had risk assessments relevant to them in areas such as nutrition, continence, going out in the community and travelling in vehicles. One person had a behaviour support plan regarding their behaviour which challenged the service. This plan described how staff are to distract them from this type of behaviour. The staff we spoke to knew exactly what to do when the person displayed this type of behaviour and could tell us about what they did when it happened.

There were also care plans in place which described for example the level of personal care a person needed and mealtime information. One person’s care plan described how they needed their food cut into smaller pieces and how staff were to prompt them to eat and also for them to wear an apron. We observed this person at lunch and the support given by the member of staff matched exactly what was set out in the care plan.

We saw that all of the care plans were reviewed every month. People were weighed monthly and this was recorded on the Caresys system. It was also documented if they refused to be weighed and the reason why.

The staff made daily recordings of the care people were provided with. We were supplied with the daily notes for the three people whose care plans we were looked at. There was comprehensive information documented regarding eating and drinking, social activities, behaviour, sleeping patterns and overnight checks.

Each person had a health action plan where appointments with healthcare professionals such as their GP, dentist, chiropodist and occupational therapist were documented.