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Inspection report

Date of Inspection: 10 December 2013
Date of Publication: 31 December 2013
Inspection Report published 31 December 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 looked at the personal care or treatment records of people who use the service, carried out a visit on 10 December 2013, 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, talked with staff and reviewed information sent to us by other authorities.

Our judgement

People received care and support that met their needs and protected their rights.

Reasons for our judgement

Care and treatment was planned and delivered in a way that was intended to ensure people's safety and welfare. We found that people’s care records were person centred and contained appropriate information about their conditions, likes, dislikes and wishes. Staff we spoke with told us about how they provided individual care for people, including what their needs were. We found that some staff were unsure about whether people were diabetic or not. We found that this had already been identified by the management team and plans were in place to have a summary that staff could refer to. People we spoke with were happy with the care they received. One person said, “I know that I am very happy here.”

We saw that staff were responsive to people’s needs throughout the day. People were supported to eat their meals and were offered choices. Menus were displayed on the tables which showed the choices for meals that people had. We saw that people enjoyed their meals and staff involved them to decide what they wanted and how much, such as gravy. We found that people who became agitated received person centred care as per their plan of care. Different techniques were used to support people in such instances, including meaningful interaction and change of environment. One person said, “The staff always have time for me even when I get confused they spend time to make me feel better and they explain things.” This meant that staff assisted people based on their needs and requirements.

Records showed that people had access to other healthcare professionals based on their needs. We saw that professionals were requested to be involved in people’s care in a timely manner. People had access to professionals, such as dentists, doctors, opticians and podiatrists. People who needed to receive care from hospital were supported to receive this. Detailed information was recorded about the care that staff needed to deliver to ensure a coordinated approach. Staff were aware of instructions given by other professionals and this was recorded. One relative explained that one person had sore skin which, “Staff made so much better, the district nurses stopped coming in.” We found that people had person centred risk assessments in place for different aspects of their care. Staff were aware of these risks and we observed them manage these appropriately.

The home had an activities coordinator who arranged for people to have regular access to activities. The staff member explained, “I am always looking for new things to do with people.” We saw photos and posters showing the various activities people had taken part in, and those that were planned. Relatives told us about the activities that were planned for Christmas. One relative said, “They have carol singers coming next week.” One person described the activities they took part in, including playing board games, ball games, singing and going outdoors. We found that a trip was planned for some people to attend a local event in the near future and some people had been to a party this week. We saw that a guitar player went to the home and entertained people. One person said, “We all love it.” This meant that people had opportunities to have a stimulating and meaningful lifestyle.

People’s equality and diversity was respected. We found that information about people’s religion and culture was gathered when they went to live at the home. This information was also recorded about how this related to people’s end of life wishes. We saw a plan of care for people who wanted to practice their religion, this included information about how they would be supported to do this. We spoke with one person who had this care plan in place. They told us, “I go to Church every Sunday.” We saw that some rooms were decorated to respect people’s beliefs. We saw staff speak to people in their own language to encourage them to eat and drink, which was responded to well. This meant that provisions were made to ensure people rece