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Archived: Leacroft

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Inspection report

Date of Inspection: 3 May 2013
Date of Publication: 4 June 2013
Inspection Report published 04 June 2013 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 looked at the personal care or treatment records of people who use the service, carried out a visit on 3 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 carers and / or family members and talked with staff.

Our judgement

The provider has met this regulation. People had experienced care and treatment that met their needs.

Reasons for our judgement

We received information from the safeguarding authority which outlined that the service had not fully monitored a person's diabetic needs, so we followed up this issue.

We spoke with five representatives of people. They told us they had the opportunity to have been involved in making sure that care plans met their relative’s needs. They all said that generally staff provided good care and attention. One person said; ‘‘I have never had a problem with the care there’’.

One person said that staff needed to deal with a person's stubborn behaviour in a more relaxed way to gain the person's trust. The person also said that she sometimes found inappropriate music or TV channels on, which were not of interest to people. The manager said these issues would be followed up.

We observed care in one lounge for one and a half hours. We found that staff were friendly to people. They gave people choices, for example, of drinks and food and whether they wanted to go out. Staff chatted to people and used people's names when speaking with them. They provided activities, such as going through a photo album with a person.

There were two issues of concern. Music was being played loudly when the TV was on, when no one was listening to the music or looking at the TV. On another occasion the nurse in charge asked a staff member why a music channel was on the TV when no one was listening to it. She then took action and gave a person a choice as to which channel he wanted to watch. Management may wish to note that people always need to be consulted as to what activity they want to have.

We saw that each person who used the service had a file containing their care plan. There was relevant information that staff needed to meet people's care needs. We found that information was sometimes difficult to locate as there was no indexing system, which wasted time trying to find it. The manager agreed that this was the case. He showed us evidence that he was trying to reorganise files to make them more accessible for staff.

We asked two staff if they had read care plans. They said they had. This meant that people were more likely to have received care that met their needs.

We looked at accident records. This information indicated proper action following injuries. This protected peoples health needs.

Relatives confirmed to us that the service was very good in keeping them informed about any medical issues. We saw that the service had developed health action plans for people. This acted as a further check to ensure that that people's needs were met.

We looked at three care plans. We saw evidence in care plans that people's health needs were assessed and acted upon. We saw risk assessments in place. Risk assessments are designed to ensure that people were kept as safe as possible.

In one care plan we saw, there was information on how to assist a person who had epilepsy. This detailed the specific support that needed to be given by staff.

It also outlined the person's diabetic needs. It stated that the person needed small snacks between meals. However, it did not specify what the snacks needed to consist of. Management may wish to know that this information is needed to ensure the person is protected against eating food which could be bad for their needs.

We looked at a care plan for a person who needed assistance with continence and catheter care. There was information in place about the type of assistance that needed to be in place to maintain this condition and protect dignity. This Included specific details such as prompting the person to go to the toilet, encouraging a high fibre diet and observation of pressure area care.

We saw another care plan which detailed measures that needed to be in place to protect the person from pressure sores developing. We saw that the person was turned regularly at night to protect his skin. We also saw suitable equipment in place to protect skin viability. This meant that this persons health needs had been p