You are here

All reports

Inspection report

Date of Inspection: 10 April 2014
Date of Publication: 9 May 2014

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

We looked at the personal care or treatment records of people who use the service, carried out a visit on 10 April 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 and talked with staff.

Our judgement

People’s views and experiences were taken into account in the way the service was provided and delivered in relation to their care.

People’s privacy, dignity and independence were respected.

Reasons for our judgement

People who use the service and/or their representatives understood the care and treatment choices available to them. People and/or their representatives expressed their views and were involved in making decisions about their care and treatment. At the time of our inspection there were three people using the service. Not everyone was able to speak to us due to their complex needs so we checked people’s individual care records to see how they had been involved in making decisions and developing their plan of care and support.

We saw from these records staff had involved people using the service and their family members when planning the care and support that people needed. We found individualised care plans had been developed from these discussions which set out people’s specific care and support needs. People’s preferences and choices for how they were cared for and supported by staff were documented in their individual plans. For example people’s specific preference for their daily routine were clearly recorded such as the time people liked to get up, get washed and dressed and eat breakfast. There were clear instructions and guidance for staff on how these needs should be met. In each plan there were instructions for staff on how to support people to make choices. For example we saw from one plan it was important to the person they were offered a choice of clothing to choose from in the morning. Staff were given guidance on how they should support the person to make a decision about what to wear.

We spoke with a visiting relative of one of the people using the service who confirmed they had been involved in planning and making decisions about the care and support that was needed. We also saw the service ensured people using the service were able to routinely express their views and make decisions about how care and support was provided. We saw from people’s records monthly discussions took place between people and their nominated keyworker about their general wellbeing and current care and support needs. ‘End of Month Reports’ had been completed by keyworkers that detailed people’s views and experiences of the care and support they received.

People were supported in promoting their independence and community involvement. We saw from people’s care plans staff were instructed when carrying out care and support to promote people’s independence. For example we noted in one person’s care plan they were able to wash themselves with minimal support and staff were encouraged to support them to do this. We spoke with one of the people using the service who told us they were very independent and only needed occasional help from staff.

The deputy manager said people were supported to undertake activities outside of the home on a daily basis. This included shopping trips, visits to the library, walks in the parks and meals out in local pubs and restaurants. One of the people using the service told us, “We have a time when we go out in the morning and in the afternoon. We go bowling or walking.”

We found people were encouraged to maintain strong links with friends and family. Family members were able to visit the home and one person was supported to regularly visit their family. People were also encouraged to have their friends visit and spend time with them at home.

During our inspection we observed staff interaction with people using the service was positive and supportive. We saw people chose to spend their time doing what they wanted and staff encouraged them to do this. Staff spoke with people in a warm, kind and friendly manner and gave positive encouragement where this was needed for example when people made their own drinks or chose what they wanted to eat at mealtimes. People were able to speak with staff when they needed to and were given their full attention and support.

People’s diversity, values and human rights were respected. We noted from care plans people’s specific cultural and religious needs were taken acc