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Nethermoor House Requires improvement

All reports

Inspection report

Date of Inspection: 27 October 2011
Date of Publication: 25 November 2011
Inspection Report published 25 November 2011 PDF

People should be treated with respect, involved in discussions about their care and treatment and able to influence how the service is run (outcome 1)

Meeting this standard

We checked that people who use this service

  • Understand the care, treatment and support choices available to them.
  • Can express their views, so far as they are able to do so, and are involved in making decisions about their care, treatment and support.
  • Have their privacy, dignity and independence respected.
  • Have their views and experiences taken into account in the way the service is provided and delivered.

How this check was done

Our judgement

People are generally treated with respect and their privacy and independence are promoted.

User experience

We spent time talking with people who lived at the service. An expert by experience took part in the inspection and talked to five people about their experience of living at the home. They also spoke to one relative who was visiting. People told the expert by experience that their families visited the home to check that it was suitable to meet their needs. People said that they were unaware of their care plans and could not recall being involved in their development. The manager said that discussions were held with people and their relatives about people's care needs and preferences but these discussions were not recorded. We did see that the records did contain people's likes and dislikes and included how they liked their care to be provided. Staff we spoke to could tell us about people's likes and dislikes. We rasied with the manager of the need to make sure that people were fully involved in planning their care.

We saw that people's independence and choice was generally promoted. People were encouraged to do as much for themselves as possible. For example we saw that people were provided with only as much support as they needed to eat independently. We also saw that one person did not like to eat with others and they were supported to eat in the lounge. The expert by experience was told that two people helped with the washing up after lunch and did some baking. They also helped to fold the washing and do some polishing. One person said that they chose when to get up and go to bed. Another person said that people were invited to attend the monthly church service that took place in the home. Several people said there was no choice of meal and we only saw one main meal provided at lunchtime. We raised this with the manager and were told that there was a choice and she would ensure that all the choices were put on a menu and made aware to the people that lived there.

People that were able to told us that they were involved in choosing what they did. There had recently been a 40's day and people had been fully involved in the day. We saw that the poster for the event had been completed by someone living at the service. People had also been involved in choosing to go to Wales for a day trip. One person also told us that they had chosen to go to the cinema on their birthday.

We observed that people were generally treated with respect and the expert by experience felt that staff were genuinely caring. However we did feel that the staff were task focused and this meant that at times people's dignity and privacy were not fully promoted. This was because the home was short staffed when we visited and staff were under pressure to complete care tasks and did not have the time to spend time talking with people.

Other evidence

The examination of care records confirmed that an assessment was completed before people moved to the service. The information gained and an assessment on admission informed people's plan of care.

We spoke to care staff and they were aware of the importance of treating people with respect and of promoting their rights to privacy and dignity. They were aware of how to maintain people's privacy when undertaking personal care tasks. Staff were able to tell us about how people liked their care given and about their preferences. They told us that they found it difficult when they were short staffed to give people the time they needed.