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Archived: Andrew Cohen House Good

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Inspection report

Date of Inspection: 22 January 2014
Date of Publication: 22 February 2014
Inspection Report published 22 February 2014 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 22 January 2014, 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 given to us by the provider. We talked with commissioners of services.

We were supported on this inspection by an expert-by-experience. This is a person who has personal experience of using or caring for someone who uses this type of care service.

Our judgement

Care and treatment was planned and delivered in a way that was intended to ensure people's safety and welfare.

Reasons for our judgement

We spent time with people living at the home, observed how they were being supported and asked care staff about people's needs. During our visit, we spoke with nine people who lived at the home. Overall, people told us they were all happy with the service they were receiving and how their needs were being met. One person told us, “I’m very happy here.” Another person told us, “I can’t think of anywhere better to be. The staff are all very nice.” We spoke with relatives of four people who lived at the home. Overall, they told us they were satisfied with the care provided.

Staff were able to tell us what people's care needs were. We saw good interactions between people living in the home and staff. Staff spoke kindly to people and were discreet when supporting people with their personal care needs. People we met looked well groomed and had been supported with their personal care. One person told us, “I can have a shower whenever I want one and staff help me to have a shave.”

People’s needs were assessed and care and treatment was planned and delivered in line with their individual care plan. Care plans contained essential information about a person’s specific healthcare needs and showed that each person had regular health assessments. We saw that care plans were updated as people’s individual conditions changed. A person who used the service told us, “If I’m poorly they phone the doctor quickly.” This meant that care plans contained the appropriate information to support staff to meet people’s individual care needs.

We saw that risks were identified and the appropriate plans put in place to prevent harm. We looked at the care records of three people who used the service and saw there were risk assessments for each person. Assessments included the risk of poor nutrition, pressure damage to skin, falls and the use of bed rails. Therefore the provider kept people safe from the risk of harm.

Special diets were catered for, dependant on people's health needs or preferences. We observed the lunchtime meal being served and the atmosphere was relaxed with people being given time to eat their meals without being rushed. If people required assistance or prompting to eat their meals this was done in a sensitive manner. Records showed that people’s weight was regularly monitored and their body mass index calculated. However, during our visit we brought to the managers attention that this had not been calculated for a person who was new to the home. This meant that a full assessment of the nutritional support they required could not be made.

We saw that the provider supported people to attend appointments with other health professionals. We were informed that the GP visited the home every two weeks to review people’s health care needs in addition to any urgent visits that were needed. We spoke with two health care professionals during our visit. Neither of them raised any concerns about the care people received. One health care professional told us, “Staff treat people really nicely, they are really good with them.” Another health care professional told us, “Staff seem to know people’s needs well.”

We looked at the care records for one person who had sore skin. We found that a care plan was in place so that staff knew what support the person needed. Records showed that the person had received skin care in line with their care plan. Following our visit we spoke with a health professional about the pressure care provided at the home. They told us they did not have any concerns and that staff at the home followed their advice regarding pressure care.

We found that the home employed two members of staff to provide activities to people. We spoke with one member of staff who had good knowledge of people's individual skills and offered appropriate activities. During a gentle exercise session we observed that the activity worker was fully engaged with people. People told us that they enjoy the monthly cocktail party they had with differ