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Inspection report

Date of Inspection: 16 March 2013
Date of Publication: 12 April 2013
Inspection Report published 12 April 2013 PDF | 88.47 KB

People should be treated with respect, involved in discussions about their care and treatment and able to influence how the service is run (outcome 1)

Meeting this standard

We checked that people who use this service

  • Understand the care, treatment and support choices available to them.
  • Can express their views, so far as they are able to do so, and are involved in making decisions about their care, treatment and support.
  • Have their privacy, dignity and independence respected.
  • Have their views and experiences taken into account in the way the service is provided and delivered.

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 16 March 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 and talked with staff.

Our judgement

People's views and experiences were taken into account in the way the service was provided and delivered in relation to their care.

Reasons for our judgement

One of the sisters living at the home told us "I love" living here. They told us they were given choices about what to do. They told us they were always consulted about their care. They made comments such as "They (staff) always ask me what help I need. They are very good" and "They do chat to me about my care and ask me what help I want. I'm quite happy I have everything I need". We heard staff offering both sisters choices and being involved in decisions related to their care and support. For example both were asked where they would like to go for the afternoon and were offered choices as to where to go.

Both of the sister’s diversity, values and human rights were respected. We saw that recognition of their cultural and religious needs had been recorded and support had been provided in line with these. One of the sisters told us that they enjoyed going to church and were supported each week to attend.

During our visit we saw that staff supported both sisters in a respectful manner. We saw that they spoke with both by their preferred names and spoke to them in a calm and sensitive manner. We saw that both sisters were wearing clothing of their choice and that their lifestyles reflected their age and interests. The gender of the care staff team on the day of our inspection reflected that of the people who lived at the home. This meant that support could be provided in an understanding manner.

We saw positive interactions from staff and observed that the sisters were spoken to in a respectful manner, appropriate to meet their level of understanding and communication. The manager told us “X and X are involved in all decisions surrounding their care and decisions made about the home and garden are made in discussions involving them”. One of the sisters had been involved in growing vegetables and was making a stone carving sign for the garden.

Both of the sisters who lived in the home had a written plan of care. This included details of how their diagnosis of a learning disability and Asperger's syndrome affected them, how they communicated their needs and wishes and how they made decisions. We saw that staff worked hard to ensure that they were given the opportunity to make choices. Staff had the skills to effectively communicate with them.

The care records we looked at were written in a respectful way; both sisters were referred to by their Christian name and respectful language was used to explain the care provided. There was evidence that they had been involved in making decisions about their care. For example, we saw in weekly activity timetables, staff and house meetings and care plans it had been recorded that people were consulted about how they wished to live their life, the support they needed and the activities they wanted to participate in.

Importance had been placed on both people being able to participate in aspects of home life to help them develop independent living skills. Both sisters were helped with tidying their room, planting vegetables, supported with cooking skills and were involved in shopping for food.