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Inspection report

Date of Inspection: 24 April 2014
Date of Publication: 30 May 2014
Inspection Report published 30 May 2014 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 carried out a visit on 24 April 2014, observed how people were being cared for, checked how people were cared for at each stage of their treatment and care and talked with people who use the service. We talked with staff.

We used the Short Observational Framework for Inspection (SOFI). SOFI is a specific way of observing care to help us understand the experience of people who could not talk with us.

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

We used a number of different methods to help us understand the experiences of people who used the service, because some of the people who used the service had complex needs which meant they were not able to tell us their experiences. We looked at a number of care plans, risk assessments and organisational policies and procedures. We also used the Short Observational Framework for Inspection (SOFI). SOFI is a specific way of observing care to help us understand the experience of people who could not talk with us.

People’s needs were assessed and care and treatment was planned and delivered in line with their individual care plan. The registered manager told us, “Social services usually refer people to us, we will invite them to come and see us and the home, I will look at their care plans and risk assessments and we, us and the person will make a decision if this is a suitable place for them.”

We looked at several care plans and saw that they contained a range of support plans in relation to people’s care needs including, communication, diet and nutrition, mobility, medication, mental health and social stimulation. Risk assessments were in place for subjects such as, mobility, incontinence, falls and pressure sores. We also saw a ‘brief summary’ page that provided information in relation to likes and dislikes and further information about ‘what is important to me’ and ‘how you can best support me’.

The provider may find it useful to note that, we saw a number of detailed support plans that informed staff what actions to take when specific situations occurred. However we saw one support plan in relation to ‘behaviour that may disrupt the service’ that failed to provide appropriate guidance for staff to follow. We discussed this with the registered manager who told us the support plan would be developed to ensure detailed information was available for staff to follow when people presented ‘behaviour that may disrupt the service’.

SOFI allows us to spend time observing what is happening in a service and helps us to record how people spend their time, the type of support they receive and whether they have positive experiences. We observed the lunch time experience and the support given throughout the day. We saw that care and assistance was provided in a compassionate way and people were assisted at a suitable pace that enabled to be as independent as possible. Interactions with staff were positive and uplifting for people who used the service.

People we spoke with told us, “I like it here”, “They look after me well, it’s nice”, “Sometimes we go to the amusements or the park and sometimes we go to the seaside” and “I’m happy thanks.”

Communication charts had been produced for a number of people who used the service. A member of staff we spoke with said, “Communication charts are in people’s files but after a bit you don’t need them, you get to know and understand what people mean.”

It was evident from the care plans we saw that a range of health care professionals were involved in the care and treatment of people who used the service. We saw advice and guidance from care co-ordinators, community psychiatric nurses, social workers, diabetic nurses and the recovery and support team. The registered manager told us, “We weigh people on a monthly basis and if we ever have any concerns we will refer them to the dietician.” We saw evidence to confirm referrals had been made to the dietician and the falls team.