14, 17, 24 February 2014
During a routine inspection
In this inspection we only looked at the regulated activity relating to personal care. This is because the provider is not currently delivering the regulated activity in relation to accommodation. We spoke to the provider about this and they are arranging to remove the regulated activity for accommodation from their registration.
We spoke to the person who used the service. He told us, 'The staff are quite nice.' He told us that staff always checked with him if things were alright; he said, 'Normally they ask me if things are ok.' He also told us that staff knocked on his bedroom door before they came in.
The person using the service told us, 'I am happy here; it's ok. I feel safe in the house.' However, we found that the care plans were not detailed or there were no care plans for some areas of care. This meant there were no clear assessments and plans to ensure people received the correct care or clear advice and instructions for care staff to follow to ensure a consistent approach to care.
On the day of our inspection the home was clean and tidy. The kitchen area was clean with working surfaces and cupboards all free from dirt, skin areas well maintained and the fridge and microwave free from dirt of food residue. There was a supply of household cleaners available in a cupboard and access to cloths and a mop.
We looked at the medication administration record (MAR) sheets for the person using the service. We found that details of the name of the medication, the dosage, the route of the medication and the amount were not recorded on the MAR sheet. This meant there was not sufficient information on the MAR chart to ensure that the correct medication and dosage was being given.
The staff member on duty at the time of our inspection told us that they felt well supported by management of the service. Staff told us they received regular supervision and met with his manager on a monthly basis. The manager told us that they had been developing a new training schedule and showed us copies of a training plan to be implemented over the next few months.
We found that care plans had not been updated on a regular basis. We also noted that several risk assessments were filed for the same area. Risk assessments did not contain dates and had not been reviewed to ensure they remained current. We found staff files were complete and fit for purpose.