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

Reasons for our judgement

There were two people living at Woodmancote Manor. They are sisters and were cared for by their foster sister, who was also the provider and manager and lived with them in the family home. The sisters had been part of the family for over 40 years and were considered as family. As well as being supported by the manager and her husband two support workers were employed to assist. It was very evident that warm relationships built on a caring relationship, trust and knowledge of the people being supported had been established

The manager was able to tell us what care and support each of the sisters living in the home needed and had a detailed knowledge and understanding of the way they liked things done. We saw that this information was recorded in their care records.

We looked at the care records for both sisters during our inspection. We saw that a comprehensive assessment of their needs had been carried out. This covered a wide range of areas including emotional well being, health related needs, keeping safe and risks as well as the sisters specific strengths and needs around daily living skills. Care records were well organised and contained detailed information about each sister and the support they needed.

We saw that care plans recorded each sisters individual ways of communicating so that staff could understand their needs and preferences and there was guidance for staff about how to recognise what the person was telling them in order that they could support them appropriately,

We saw that risk assessments had been tailored to the needs of the sisters living in the home, we saw that these were comprehensive and linked to the social, leisure and daily activities that people had participated with such as attending the gym and swimming. Risk assessments and care plans were reviewed by staff as required and dependent upon their assessed need. We saw that the support and care given was recorded at least once a day by staff. All of the records that we looked at were up to date, monitored and updated when required.

We observed staff supporting both sisters in a positive way. Examples of this included staff explaining to them what they were going to do prior to providing any help and we saw staff did this in a respectful and kind way.

Both sisters healthcare needs were identified in their care records and these were met with input from relevant medical and healthcare professionals. We saw evidence that when needed the sisters visited the doctor, dentist and optician. Specialist advice had been provided by the psychiatric consultant who kept medicines under review. The manager told us that excellent support was provided by the community psychiatric nurse, the nurse knew the sisters well and provided guidance and advice when required. This showed us that people's health needs were met with appropriate professional and expert support to ensure the welfare and safety of the sisters living at the home.

There was documentary evidence that the people spent their time doing things which interested them, one of the sisters showed us their art and craft work which included knitting and stone carving. They told us that they and their sister went out shopping and enjoyed spending time doing “nice things” with their support worker.