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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 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 are having their individual health and personal care needs met.

User experience

People said they were satisfied with the support they received. Comments made to the expert by experience included "I don’t mind it here" and “It seems alright to me”. A relative also said they were happy with the care provided. One relative did comment on the staff shortages but still felt that their relative was getting the care they needed.

Through a process called 'pathway tracking', we looked at two plans of care, spoke with staff about the care people received and observed staff when they provided support. Pathway tracking helps us understand the outcomes and experiences of selected people as we look at documentation relating to identified people, observe the

care given and speak to the person receiving care. This information helps us to make a judgement about whether the service is meeting the essential standards of

quality and safety. People had care plans in place and we saw evidence in most instances of ongoing review and evaluation. Ongoing assessments were in place covering such areas as nutrition, continence, falls and skin care. We also saw where needed that there were plans in place to support people's communication and dementia care needs. Plans were person centred and identified people's specific needs and preferred routines. Risk management systems were in place to support people safely.

We saw that people were supported to have their personal and health care needs met although they sometimes needed to wait. We observed people being supported with personal care tasks and with eating their meals. People confirmed and we saw evidence that people were supported to have their health care needs. We saw evidence of health care staff visiting including a chiropodist and optician.

There was evidence to confirm that people took part in activities. We saw evidence of two people reading and one person drawing. We also saw a staff member leading some singing. Due to the current staffing levels we were concerned that those that needed support to have their social needs met were not always able to receive this.

Other evidence

We spoke to staff supporting people and there were aware of people's individual needs. They were aware of how people liked their care to be provided and were aware of people's individual routines. Staff said that because they were short staffed they could not spend much time speaking and interacting with people. One staff said that when they were only two staff on duty they did not have much time to spend supporting the more dependent people to undertake activities. The home did not have an activities co-ordinator so any activities were completed by the care staff.