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Inspection report

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

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 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

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 spoke with one of the people using the service and asked them for their views about the care and support provided by staff. They spoke positively about their experiences. They said, “I do like living here. I like my music. I love to go to my bedroom and I can go to the kitchen if I want to.” They showed us their bedroom and how they had been able to furnish and personalise it the way they wanted. We also spoke with a visiting relative. They told us they were confident their relative was being cared for by observing their behaviours and interaction with staff. They said staff were caring and had a good understanding of their relative’s needs.

People’s needs were assessed and care and treatment was planned and delivered in line with their individual care plan. We looked at the care plans of all of the people using the service. These set out each person’s specific care and support needs with clear instructions and guidance for staff on how people wished to be cared for and supported to meet these. Each person also had a health action plan that gave staff information about their current healthcare and medical needs. Details of medical appointments and visits had been documented and outcomes from these were noted. Plans were comprehensive and covered people’s needs in respect of their daily routines as well as their specific medical and healthcare needs. There was detailed information for staff about how people expressed themselves through speech, signs, gestures and behaviours. This was important as this helped staff understand what people wanted or needed or how they might be feeling.

Staff kept detailed daily records for each person, which noted the care and support provided to them, information about their daily diet, information about activities undertaken and details of outcomes from medical and health care visits. Monthly checks were carried out of people’s blood pressure and people’s weights were also monitored monthly. The deputy manager told us these records were important as they helped staff to identify any potential issues or concerns about people’s overall health and wellbeing. They said staff reviewed these notes and discussed any issues or concerns they had on a daily basis during handovers which ensured all staff were kept well informed about people’s changing needs.

It was clear from our observations and from speaking with staff that they had a good understanding of people’s care and support needs and that they knew them well. A representative of one of the people using the service told us they felt staff had a good understanding of their relative's needs. They said they regularly tested staff’s understanding of these needs which gave them assurance these were appropriately met.

Care and treatment was planned and delivered in a way that was intended to ensure people's safety and welfare. We noted from people’s individual care plans there was guidance for staff on how to support and care for people when they were not well. We also saw for each person, staff had carried out risk assessments to identify risks to their health, safety and wellbeing in the home and in the community. Where potential risks had been identified there was guidance for staff about how these should be managed in order to keep people kept safe when receiving care and support.