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Inspection report

Date of Inspection: 24 May 2011
Date of Publication: 12 July 2011

People should be cared for in safe and accessible surroundings that support their health and welfare (outcome 10)

Not met this standard

We checked that people who use this service

  • Are in safe, accessible surroundings that promote their wellbeing.

How this check was done

Our judgement

People were in safe surroundings and had access to sufficient personal and shared space. However, people did not benefit from a pleasant environment as there were areas of strong and unpleasant odour in the home.

Overall, therefore, we found that there are areas of non compliance with this outcome.

User experience

We received information before we visited the home telling us that there were problems with odour in the home as carpets and chairs were not cleaned after people had been incontinent.

People using the service told us they were happy with their rooms and the facilities available. Visitors to the home, including visiting health professionals, told us that they had noticed an unpleasant odour in the entrance hall.

Other evidence

The service had a number of lounge and dining areas that people could choose to use and a conservatory. The main lounge and dining room provided enough seating for everyone using the service. There were toilets located off each of the communal areas.

During our visit to the service we noticed a strong odour, similar to the smell of urine, in a number of areas in the home. This included two hallways and four bedrooms and was noted at various points of the day between 10.00am and 5.30pm.

We found that people’s bedroom doors were kept locked during the day and therefore they could not access their own rooms without a staff member being present. The deputy manager told us that this was to prevent other people that use the service entering their rooms. They told us that five people who could use a key had been provided with one. Where people’s liberty and freedom needs to be restricted the law states that this must be applied for through the proper channels. The deputy manager confirmed that this had not been done.

Staff told us that people could access the garden, but only if they had staff with them. They said that people were not able to go out into the garden very often as there were not enough staff to supervise them.