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Archived: Dunsland Inadequate

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Inspection report

Date of Inspection: 5 June 2014
Date of Publication: 8 July 2014
Inspection Report published 08 July 2014 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 5 June 2014, observed how people were being cared for and talked with people who use the service. We 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 reviewed two people's care records and support plans. Each was supported by a photograph and covered aspects such as support needed, risk assessments and treatment programmes where applicable. We found that each care record and support plan identified the person's needs and wishes and we saw evidence that staff made every effort to meet each person's needs.

We noted evidence that regular reviews of people’s needs took place. Records demonstrated that risk assessments were completed regularly and that any additional support identified as a result of risk management was well planned and carried out. We also noted interaction with external agencies relating to medical reviews and that regular health and wellbeing checks took place. We saw evidence of social worker support and speech and language therapy input. This told us that the provider took reasonable steps to make sure people's health and social needs were met.

Regular activities such as social outings, arts and crafts sessions, board games and beach walks took place, which provided stimulation and interest for people. We also noted that the people were involved in creating scrapbooks both individually and for the home. This helped as part of gathering family history and in the reviews of their care plans. We saw evidence of risk assessments taking place. For example, taking people out in wheelchairs and where people helped out in the kitchen.

We saw evidence of medication reviews that had taken place and references to other health care provision such as dentists, opticians and chiropodists. On the day of the inspection we saw that one person had been taken to a hospital appointment by their keyworker and that an immediate review of the outcome was carried out.

Care records and support plans were cross referenced against reviews, risk assessments, medication administration records (MAR) charts and people's plans for the future. All were signed and dated. We also saw evidence of the provider’s efforts to ensure people were aware of their rights, in particular the difference between good practice and bad practice and how people using the service could let management know if they were unhappy about something.

People's needs were assessed and care and treatment was planned and delivered in line with their individual care plan.