10 September 2014
During an inspection looking at part of the service
On the day of the inspection there were 12 people using the service. As part of this inspection we spoke with four people, three staff and a visiting health professional. The registered manager, who was also the registered provider, was not available on the day of the inspection; however, we spoke with them by telephone. We also reviewed records relating to the management of the home which included, four care plans, daily care records and medication records.
When we last inspected this service on 19 May 2014 we found that care and treatment was not always planned and delivered in a way that was intended to ensure people's safety and welfare.
People were not always protected against the risks associated with medicines because the provider did not have appropriate arrangements in place to manage medicines.
During this inspection we found people's welfare and safety had been met through appropriate care planning and delivery. We found people had been protected against the risks of malnutrition. The service used appropriate screening tools to promote people's health and welfare. Arrangements were in place with health services to ensure that the risks to people that they could not weigh were assessed.
People were protected against the risk of developing pressure sores as the service used appropriate screening tools to assess the risks to people. Records were kept of how often people had been re-positioned.
There was evidence that people's consent had been sought for the use of bedrails where they had been assessed as in need of them.
There was improved documentation in relation to how the service ensured that people's social and emotional needs had been met. People we spoke with were satisfied with how their social needs had been met. One person told us 'Staff do my nails. Staff are very good and have a chat.'
People we spoke with told us that they received their medication as needed and safely. One person commented 'I get my medication as I need it.' Staff had clear guidance about the application of creams as they were recorded on separate body charts. The amounts of medication received and carried forward had been recorded consistently. Stock checks took place so that the service knew what medication they had in their charge. A risk assessment had been introduced to assess the risks to people if they wished to self-medicate. Staff had been provided with written guidance about the administration of medicines to people which they took 'as required.'