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Archived: Cotswold Lodge

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All reports

Inspection report

Date of Inspection: 27 September 2011
Date of Publication: 19 October 2011
Inspection Report published 19 October 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 receive the care and support they need in a way that is safe, meets their needs and takes into account their personal preferences.

Overall, we found that Cotswold Lodge was meeting this essential standard.

User experience

We could see from reading care plans and other recording that people were consulted about the care and support they received, and that their preferences and views were recorded. During our visit staff explained to people what they were doing and gave them options, such as for what to do or what to have for lunch.

Other evidence

We read four people’s care plans in detail, the new care plans being introduced were person centred and people had been involved in writing them. People had been asked about how they liked to be supported in all areas of their daily lives and their responses were recorded. They had signed the information when possible, or it had been noted that the information had been discussed with them. Daily routines such going to bed were recorded stating what time people liked to go to bed and get up and their choice of bedtime drink. The entry about bedtime for one person who used signs and gestures to communicate included, “sometimes I hold my hand up for a high five” this would help staff to understand the gesture. People had meetings with their keyworkers, these included discussions about personal goals and how to achieve them, one recent goal set was for a person to be able to make tea and toast.

Where people were unable to make an informed choice about their care, or an aspect of it, Best Interests meetings had been held with people’s representatives. One person had recently needed an operation; consent to the surgery had been gained from their representatives after consultation with health professionals.

Health needs were recorded and people were supported to attend health appointments and keep in touch with health professionals such as speech and language therapists, dentists and community nurses. The person who had needed surgery was using a wheelchair temporarily, they were able to move around the ground floor freely with it and staff were recording their daily progress. Records showed that staff spent time each day supporting the person’s full recovery and were pleased with progress. A physiotherapist visited to help staff with the person’s exercises after lunch.

Relatives told us that the home makes sure that health needs are met and that it has purchased equipment for people when items needed had not been promptly provided by health services. People who needed to make sure they maintained a healthy weight were encouraged to exercise, one person used an exercise bike in their room daily and the number of miles they rode was recorded.

Individual risk assessments were in place such as for accessing the community, risk of self harm and epilepsy. One person was recorded as needing one to one support in the community to keep them safe and the manager explained how staffing was arranged so that people went on outings of their choice with sufficient staff for their individual needs.

People were being supported with activities of their choice, each person had their own individual programme of activities. The home had its own transport and activities included swimming, shopping, music, aromatherapy and going out for meals and walks. One person had a regular visit to Manston airport as this is their preferred trip out. A caravan holiday had been provided for people this year; comments on resident’s meetings notes stated that they said they had enjoyed it. One person chooses not to go on holiday preferring to stay at home.

Staff took people to visit their families if relatives were unable to visit the home, relatives we spoke with confirmed this, and one person visited their mother fortnightly. Special trips were arranged for people’s particular interests, one person showed us tickets for a wrestling match at the O2 Arena in November, and others had been to the Dr Who exhibition and a London show.