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Inspection report

Date of Inspection: 7 September 2012
Date of Publication: 23 August 2011
Inspection Report published 23 August 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 can be confident that staff will have access to up to date care records, so they are aware of their care needs and how best to meet them to ensure their physical and mental wellbeing.

User experience

One person who uses the service said, “This is a nice place to live and all the staff are nice.”

Another person said, “The staff are very good, they help me to get washed and dressed.”

One person who lives there said, “I’ve never had to complain about anything the staff are pretty good.”

We saw that care plans and risk assessments provided detailed information and staff were aware of people’s needs and how best to support them.

We observed that people’s needs were being met in a caring manner.

Other evidence

A needs assessment is carried out before people are admitted to the home. This was confirmed by two people who use the service and three visiting relatives. A needs assessment enables the home to establish the person’s care needs, the support they may require and suitable equipment needed to promote their health and wellbeing, before they move into the home. People can therefore be confident that staff will know how to meet their needs on admission.

We looked at three care plans, these should provide staff with essential information about people’s needs and how best to meet them. The care plans provided clear, accurate and up to date information and people’s involvement in planning their care, ensured they are cared for the way they prefer.

For example, one care plan showed the person has restricted mobility. The care records showed that an assessment was carried out by an appropriate health professional to ensure the person was provided with the necessary equipment to promote their mobility and safety. We also observed this equipment in use. This person told us, “This is a nice place to live and all the staff are nice.”

The care plans provided detailed information about people’s health conditions and the current support and treatment needed. Care records told staff how to recognise symptoms of ill health and how to assist the person.

One person we spoke with told us about their health condition and the assistance they required. We observed that this information was contained within their care plan. Further discussions with them confirmed their involvement in planning their care. They said, “The staff are good, they will do anything for you.”

We spoke with two care staff who demonstrated a sound knowledge and understanding of this person’s care needs and how to support them. This person can be confident they will receive effective, safe, appropriate care and treatment to meet their needs.

Where people do not have capacity their relatives are involved in planning their care. This was confirmed by three visiting relatives we spoke with. One visiting relative said, "The staff do talk to me about my mother’s care and they contact me if there’s any change in her health." They said, “The care is good and they will contact the doctor when needed.” We also heard one care staff informing a person about the changes to their relative's care plan. These practices should ensure individual's specific needs are appropriately met.

Care plans told staff about the level of support people required to maintain their personal care needs. One care plan showed that the person was fairly independent but would require assistance with their buttons and zips. We spoke with this person who confirmed receiving the relevant support. We also observed that the person was smartly dressed.

One person who uses the service told us, "The staff are very good they help me to get washed and dressed.” This means people can be assured they will receive the necessary support to meet their personal care needs and promote their independence.

Care plans showed that people have access to relevant healthcare services when needed. All three people we spoke with who use the service also confirmed this. People can therefore be confident they will receive the necessary care and treatment to ensure their physical and mental health.

We looked at three risk assessments, these told staff how to promote people’s independence and ensure their safety whilst doing so. We saw risk assessments in place for the prevention of falls, moving and handling and people’s health conditions. These assessments told staff about appropriate practices and safety measures required to meet people’s needs safely.