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Inspection report

Date of Inspection: 25 June 2013
Date of Publication: 20 July 2013
Inspection Report published 20 July 2013 PDF | 81.8 KB

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 25 June 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.

We used the Short Observational Framework for Inspection (SOFI). SOFI is a specific way of observing care to help us understand the experience of people who could not talk with us.

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

People’s needs were assessed and care and treatment was planned and delivered in line with their individual care plan. We looked at four care and support plans. We saw that each person had an assessment of need before moving into the home. Their support plan had been written around their needs and it was clear that the person or their family had been involved. We saw that these were reviewed regularly and where appropriate changes had been made. One care plan we looked at documented how the person had been very ill recently. Their support plan clearly recorded their changing needs and had guidance for staff on how to best support them.

Care and treatment was planned and delivered in a way that was intended to ensure people’s safety and welfare. Each section of the support plan had an individualised risk assessment where appropriate. One of the plans we looked at was for a person who required bed rails. We saw that this had been risk assessed and discussed with a family member who had signed the assessment to indicate their agreement. Where people required the use of specific equipment such as hoists and specialist mattresses this was recorded in their care plan and risk assessment. The provider may find it useful to note that specific details such as the setting for the air mattress or the exact setting for use of the hoist sling were omitted.

People’s care and treatment was planned and delivered in a way that protected them from unlawful discrimination. Each person's care plan included information about their needs in relation to age, gender, culture, religion and ethnicity so that these needs would be met. People’s life history obviously influenced their support needs. We saw this was partly documented in guidance to staff on how that support should be delivered. However, the provider may find it useful to note that there wasn’t a complete life history in the files we looked at.