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Inspection report

Date of Inspection: 6 January 2014
Date of Publication: 7 February 2014
Inspection Report published 07 February 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 6 January 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 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

During our inspection we looked at the care records of two people who lived at the home. These contained detailed assessments of people's needs that had been carried out prior to them moving to the home and included relevant information from other health care professionals. These formed the basis for the care plans. These plans were written in a factual and non-judgemental way and provided an on-going picture of the care and support that people received.

The care plans included people's preferences and dislikes. They contained sufficient information which identified people's abilities and areas where people required support to maintain and develop their independence. We saw that these were regularly reviewed and updated with people including following an incident or event. We saw that people's documents were in a format that they were able to easily understand, these included things such as pictures and symbols.

We saw that referrals to other health care professionals had been made by the home to support people's health care requirements, such as the behavioural assessment team, epilepsy nurse and speech and language. This demonstrated the provider sought appropriate professional health and care support, to maintain and reduce the risk of deterioration in people's health.

Staff told us that care plans and risk assessments were informative and provided clear guidance on people's needs, wishes and aspirations. Staff told us any changes to people's care were discussed during handover periods and recorded in care plans. We saw there was regular monitoring of people's welfare and records that showed issues of concern were passed on to the relevant professionals appropriately.

Each person had an allocated keyworker who held keyworkers sessions with them monthly to plan and review people's wishes, aspirations and progress. We saw the provider was in the process of implementing a new format for the care and support plans which will streamline the number of documents in use whilst ensuring that they are more person centred ensuring that they contain guidance for staff to promote peoples abilities and independence.

We reviewed the daily care and support records which had recently been developed and saw that they identified the care and support that had been provided was in line with the persons identified needs recorded within the care and support plans.

We saw that people’s needs were assessed and care and treatment was planned and delivered in line with their individual care plan.