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Inspection report

Date of Inspection: 7 May 2013
Date of Publication: 25 May 2013
Inspection Report published 25 May 2013 PDF | 82.34 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 7 May 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

Care and treatment was planned and delivered in a way that was intended to ensure people’s safety and welfare.

We saw, before someone could move into the home, the manager completed a pre-admission assessment. This assessment covered all areas of the person’s life, for example their interests, personal enjoyment and personal relationships as well as the support they needed, including their social and health care needs.

We looked at how people’s individual needs were met and found good practice in respecting the rights of people from different backgrounds and faiths. Staff were also able to give examples of steps they had taken to meet the needs of people and their families in relation to disability, race, religion and belief, sexuality and age.

The manager said some people preferred some private time in their rooms and this was always respected.

We looked at seven care plans in detail. Four of the plans were recorded using the organisations new care plan format, although the content was accurately recorded, information was not easily accessible or user friendly. For example there was a section within the care records to identify urinary/continence/bowel needs. This section was17

pages long, and included bladder and bowel charts, toileting ability, cognitive skills, mobility, risk of falls, nutrition, skin care and medical risks followed by a summary. In addition to this section, there were separate and detailed care plans and risk assessments relating to all of these areas. We saw the moving and handling assessment was extremely detailed however this document was 22 pages long.

When we spoke with staff about the new format, they said some parts were very good however, they thought there was too much duplication and they were very time consuming to fully complete.

People we spoke with told us they had regular health checks. Care plans included people’s personal preferences, records of health and social care, professionals who had visited and these were reviewed monthly.

We saw staff kept a daily record of the care that had been provided as well as any changes to a person’s health care needs. This helped to make sure that people’s treatment was still best for them.

We saw staff were polite and courteous to everyone, asking people if they needed help and only assisting as much as required. Staff spent time talking to people and explaining what they were going to do before they started to assist them.

We saw the provider used a 'Malnutrition Universal Screening Tool' to assess the risk of malnutrition. People were weighed regularly to ensure they were a healthy weight and where people were losing weight they were referred to a dietician. This meant there were processes in place to stop people from becoming ill.

We talked with staff about the people living in the home. They clearly had a good understanding of the health and social care needs of the people in their care.

All of these measures ensured people's care and treatment was planned and delivered in the way they preferred, and in a way that promoted their wellbeing.