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Inspection report

Date of Inspection: 27 February 2013
Date of Publication: 8 May 2013
Inspection Report published 8 May 2013 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

We looked at the personal care or treatment records of people who use the service, carried out a visit on 27 February 2013, 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 who used the service experienced care and support that met their needs and protected their rights.

Reasons for our judgement

Relatives we spoke with told us that staff were good at responding to the health and medical needs of their family members and acted promptly to obtain professional medical support. One relative told us, “[Family member’s name] has recently been in hospital and staff provided round the clock care and support which was fantastic.”

We looked at the care records of six people who used the service. These contained thorough assessments of need and detailed person centred support plans including people’s personal history, goals and aspirations. We saw that assessments had been carried out prior to people entering the service to ensure it was able to meet their needs. Copies of the service user guide and contracts of residency were also contained within people’s records.

The registered manager explained the assessment and planning procedure when people were deciding whether to use the service. People had an extended community care assessment undertaken by a social worker, followed by an assessment by The Oaklands staff to ensure their needs and wishes could be met. Following this, prospective clients (and their relatives where appropriate) were encouraged to visit and take time to decide if the service was right for them. Opportunities for day visits and overnight stays were provided.

The provider told us that people who used the service had an individualised, person centred care plan, developed from their pre-admission assessment. Care plans were holistic and developed in partnership with the person (and their relatives where appropriate) which included the person’s full range of care and support needs. Care plans formed the basis for care to be delivered and were referred to every day by staff, including at staff handover periods. Care plans were regularly reviewed and updated to pick up any changes in people’s condition or circumstances and to measure progress.

The quality compliance manager showed us that improvements had recently been made to care plans to make them more person centred and that further improvements were being implemented to include more detail in the behavioural section of care plans. This was in relation to potential triggers and de-escalation techniques for people who presented with challenging behaviour, which would be reviewed regularly to ensure it continued to meet their needs.

We saw that care plan review documents were in place which showed that a range of people including doctors and other health professionals were included in people’s reviews to ensure they received safe and appropriate care that met their needs and supported their rights.

We saw that people had an individualised ‘health action plan’ which included full details about their health and medical needs. All of the care records we looked at showed that people had regular access to external health services such as a doctor, dentist, optician, and chiropodist to ensure that their physical health needs were being met. We saw that people also had regular assessments from a variety of agencies such as speech and language, occupational therapists, and social workers to promote their independence.

The provider told us that people who used the service were supported when attending health appointments, if this was their choice. Appointments were delivered in symbol format as well as written to assist people’s understanding. Key workers worked closely with people to explain any treatments they may require. Whenever possible the person’s key worker would attend the health appointment with them so they were at ease throughout the appointment and whilst receiving any treatment. If the person was worried about a forthcoming appointment they would be supported closely with additional support prior to, during and after the appointment to ensure their concerns were minimised. Every effort would be made to promote people’s safety and protect their welfare.

The provider told us they had recently employed the service of a worker from a local partially