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Inspection report

Date of Inspection: 23 October 2012
Date of Publication: 27 November 2012
Inspection Report published 27 November 2012 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 reviewed all the information we have gathered about Trinity House Annexe, looked at the personal care or treatment records of people who use the service, carried out a visit on 23 October 2012 and observed how people were being cared for. We talked with people who use the service, talked with staff and talked with stakeholders.

Our judgement

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

Reasons for our judgement

Care and treatment was planned and delivered in a way that was intended to ensure people’s safety and welfare. We looked at three care plans and each person had a risk assessment which identified areas of risk and provided guidance on how staff should support people to manage the risks identified. The care plans and risk assessments were reviewed to ensure they were current and relevant to the needs of the person, this included a relapse indicator for each person to identify possible changes to risk beforehand. There was evidence of involvement from other health care professionals, such as the community mental health team

Care plans included cultural and religious needs. For example one person was supported to make regular weekly visits to the mosque.

The provider is taking action in response to our observation that likes and dislikes of people were not clearly stated in the care plans.