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Inspection report

Date of Inspection: 26 October 2012
Date of Publication: 8 December 2012
Inspection Report published 8 December 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

We looked at the personal care or treatment records of people who use the service, carried out a visit on 26 October 2012, 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 carers and / or family members and talked with staff.

Our judgement

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

Reasons for our judgement

People's needs were assessed and care and treatment was planned and delivered in line with their individual care plan. We looked at four people’s care records. We found that people had a detailed assessment prior to living at the home. This meant that arrangements were in place to ensure that staff could meet people's needs if they chose to live there.

We found that people’s care records were detailed, person centred, and reviewed on a regular basis. One person said, “They are all great here, very caring, even the owners.” Staff we spoke with were able to give us detailed information about people’s needs and preferences. We saw that staff had meaningful conversations with people as they delivered care that met people’s preferences. This meant that people could be assured that they were looked after by staff who understood their needs.

We saw staff explaining things to people and reassuring them when needed. In one instance, staff responded promptly to manage a difficult situation where two people needed support immediately. We saw staff acting professionally to resolve the situation and use distraction techniques to manage behaviour that challenged.

We saw that people had a choice of getting their hair styled, decorating pumpkins for the Halloween party, and reminiscing with staff. We saw an activities folder, which showed that people were regularly involved in activities. The activities coordinator told us, “We try and go out somewhere at least once a month.” One person said, “There is lots of do here, we all have a great time.” This meant that people had opportunities to be involved in a wide range of activities to have a stimulating and meaningful lifestyle.

Care and treatment was planned and delivered in a way that ensured people’s safety and welfare. We found that risk assessments were completed for different aspects of people’s care, which were person centred. In instances where risk was identified, there were clear instructions for staff on how the risk should be minimised or managed. We found that people had access to other health professionals in a timely manner. One person said, “It is no bother, they just call the doctor or whoever.”

People’s care and treatment reflected relevant research carried out for dementia care. We found signage around the home so people could use this to navigate themselves to their bedrooms, the lounge, and dining room. We found pictorial menus on the table that people could read and look at to remember what choices they had for mealtimes, as people with dementia could often forget. A sensory room was being used to stimulate people through use of different senses. We saw that laminated cards had been made for two people to read, as they often forgot what their name was and where they were. This meant that people with dementia were being supported by using different person centred techniques and interventions.