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Archived: St George's Nursing Home Requires improvement

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Inspection report

Date of Inspection: 10 September 2013
Date of Publication: 27 September 2013
Inspection Report published 27 September 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 September 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 commissioners of services. We reviewed information sent to us by other regulators or the Department of Health, reviewed information sent to us by other authorities, talked with commissioners of services and talked with other regulators or the Department of Health. We talked with other authorities.

We used the Short Observational Framework for Inspection (SOFI). SOFI is a specific way of observing care to help us understand the experience of people who could not talk with us.

Our judgement

People received the right care, at the right time, through the planning and delivery of care that reflected their needs.

Reasons for our judgement

We inspected this outcome because we received information that raised concerns about the quality of care people received to meet their needs.

During the day of our inspection we received positive comments from people who lived at the home and their representatives about the care and support they received. One person told us: “I always get the help I need” and “They (staff) are kind and stop to chat with me as they pass my door, I am happy here.” Another person said that they always had plenty to drink and had no complaints about the care that they received from the staff.

At this inspection, we observed a number of different care tasks as they took place. We watched people were supported appropriately at different times and by different staff. This support was not rushed and staff gave people their full attention. We saw that staff provided support and care that reflected the care plans in place, they responded to people's needs as assessed and planned for.

People’s needs were assessed and care and treatment was planned and delivered in line with their individual care plan. Staff were able to describe people’s care needs, and knew how each person liked to have their support provided. Each person had a detailed and up to date plan of care. These included plans for the management of any risks, such as pressure skin damage.

We saw that one person that was at risk of pressure skin damage had been assessed and needed to be repositioned every two hours. We saw that the person had been supported to change their position at two hourly intervals during our visit. Staff had completed records to show when this had been done.

Care and treatment was planned and delivered in a way that was intended to ensure people’s safety and welfare. We saw that some people who lived at the home had their fluid intake monitored because this had been assessed as an important part of their care. We saw that fluid charts had been filled in and that people were encouraged to have frequent drinks.

During the day we spent time in all the communal areas and found that staff kept people’s drinks topped up and carried out regular rounds to ensure people had drinks. We saw staff provided encouragement and support to people with their drinks. This included the right cup, mug or beaker to meet people’s needs. We also spoke with some people who invited us into their rooms. They told us that staff always made sure that they had plenty to drink in their rooms. These staff practices helped reduce the risk that people would become dehydrated.

The care plans we looked at were reviewed on a monthly basis and changes had been put in place where needs had changed. This meant that the staff monitored the care that people who lived at the home received to make sure it reflected their needs.

We saw that people had regular access to health and social care professionals for advice and treatment for their specific needs. We looked at some of the care plans for five people who lived at the home. These contained information about the person's health and care needs and the professionals involved in their care such as; a dentist, doctor, social worker and optician. This meant that people were supported to maintain their health and wellbeing.

Two people who lived at the home and a relative told us that they had access to the doctor when required. During our inspection a health professional visited the home to look at the care one person received. We spoke with this professional who told us that they were happy with the care that the person received to meet their health and care needs.

We heard from the staff that a number of activities were available, and we spoke with one of the people responsible for activities who told us that activities continued to improve so that they met the needs of people who lived at the home. They told us that they chatted to people on a one to one basis, did arts and crafts with people and trips were organised to local places of interest. Du