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Inspection report

Date of Inspection: 10 October 2013
Date of Publication: 8 November 2013
Inspection Report published 08 November 2013 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 10 October 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.

Our judgement

People experienced care, treatment and support that met their needs and protected their rights.

Reasons for our judgement

Some people were not able to tell us directly about their views and experiences. However, we saw that staff spoke to people with warmth and empathy. Staff listened to people and responded to requests for assistance. We saw that people who used the service responded in a positive and relaxed way to the staffs approach.

In all our observations of people they appeared well groomed; their glasses and finger nails looked clean, and we saw some ladies wearing jewellery. This showed people were supported appropriately in their personal care and to retain their individuality.

People’s needs were assessed and care and treatment was planned and delivered in a way that was intended to ensure people’s safety and welfare.

During our discussions with staff we found that they had a good understanding and awareness of people’s care needs and preferences.

We looked at the care records for two people. Each person had a care plan in place that recorded people’s assessed needs and how these were to be met by staff. The provider may find it useful to note that although we saw that staff were knowledgeable about people’s needs and promoted their independence, the care plans contained very little personalised information on how each individual would like their care and support to be provided or in some cases how the person communicated. They mainly focused on people’s presenting needs rather than a person centred approach. For example they did not reflect the individuals’ strengths and ability or how staff should provide support in a consistent way to help them maintain skills and some level of independence.

Each care plan contained a ‘Life History’ which provided useful information for staff to understand the person’s past and who they were. However the provider may find it useful to note that the care plans did not reflect dementia related needs specific to that person which would enable staff to understand and manage behaviours and recognise changing needs.

We saw that people had been assessed for a range of potential and/or actual risks to their wellbeing such as poor eyesight, falls, poor nutrition, moving and handling and risk of pressure ulcers. The risk assessments had associated action plans in place that provided instruction for staff to follow to ensure any risk to people’s health safety and wellbeing were reduced and managed appropriately. These had been regularly reviewed and were up to date.

Referrals to health care professionals had been made by the home to support people's health care requirements. We saw that where people had been identified as at risk of acquiring a pressure ulcer; pressure relieving equipment was in place to help reduce the risk and appropriate support was sought from the local district nursing team. People’s weight was monitored and recorded each month. The entries in the records showed that where there was a weight loss referrals had been made to the dietician or GP. We saw that people had access to fresh cold drinks, snacks, sweets and fresh fruit and these were freely available in all communal areas of the home.

We observed a triage nurse visiting the home, on the provider’s request, to assess a person who was unwell. This demonstrated that the provider sought appropriate professional health and care support, to maintain and reduce the risk of deterioration in people`s health.

We spoke to a district nurse visiting the service. The district nurse told us that they visited the home quite regularly and found the people living in the home were always happy and no one had ever raised any concerns to them. The district nurse assured us that the staff were knowledgeable about the people living there and they always referred promptly to healthcare professionals when the need arose.