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Archived: Crompton Court Residential Care Home

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Inspection report

Date of Inspection: 11 December 2013
Date of Publication: 9 January 2014
Inspection Report published 09 January 2014 PDF | 77.84 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 11 December 2013, observed how people were being cared for and talked with people who use the service. We talked with carers and / or family members and talked with staff.

Our judgement

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

Reasons for our judgement

People said that staff were, “very friendly and very caring” and that they were helped when they needed help. Relatives said that they were happy people were in the home and well taken care of.

People told us and we saw records about different activities available at the home including Bingo, cookery and card making. We talked to an activities co-ordinator who told us that they spent time with people who did not want to join in group activities. On the day that we visited the activities co-ordinator sat with and organised games of draughts in the morning and talked to people in the afternoon.

The home had a mini-bus but people told us, and we saw records that it was seldom used to take people out. People had been on group outings three times since June 2013. People said that they had enjoyed a Halloween party at the home. Some of the people that we spoke to said that they would like to be able to keep active by going out of the home for a walk or to places of interest. They also said that they would enjoy physical activities within the home if they were available.

The provider may care to note that a wider variety of activities could be offered to address the diverse interests of more people, such as gardening. Walking and physical exercise helps people to maintain health and independence and promotes their welfare.

We saw that the service provided care for seven people with dementia in a small separate unit on the first floor. When we visited these service users were safely cared for by a single carer who summoned help, when needed using the emergency call system. This system allowed them to summon general assistance or emergency assistance with two distinct buttons and sounds.

The provider may care to note that if the physical dependency of service users in this unit deteriorates in the future, more staff may be required to ensure their safety, particularly until they have received their personal care. For example being helped to wash and dress in the morning. In addition, the installation of an intercom or internal telephone system would greatly enhance the ability of carers to communicate with colleagues and summon appropriate assistance when required.

During our inspection we saw that staff spoke to people in a caring and gentle way. We saw a ‘night checks record’ that showed that people on the dementia unit were regularly checked and that staff observed if people were awake or asleep, needed help to use the toilet or to be turned or helped to drink.

Staff were able to describe the action they would take in an emergency situation to maintain people’s safety. They were able to locate relevant policies. This showed us that procedures were in place, that staff knew about to deal with emergencies.

All of the people using the service had a person centred care plan which had photographic identification of the service user. We looked in depth at pre-admission assessments, risk assessments and care plans for three people. The manager told us, and people confirmed that they had visited people and discussed their needs and preferences before they had come to live at the home. Assessment included social and personal needs. Care plans were in the form of individualised 24 hour cycles of care. The planned care matched the assessed needs of people and plans were in place to minimise risk from falls, scalds, disorientation, incontinence or mobility, when required. Care plans included a record of professional visits, appointments and personal belongings.

Care plans were reviewed regularly and updated in a daily statement of wellbeing and care document. This showed us that service users were protected from some risks and that care was planned according to individual needs.

The service used a MUST tool to assess the risk of malnutrition. The MUST tool allowed carers to calculate a number which signified the risk of malnutrition and triggered a response, including referral to a dietician. This required an accurate measuremen