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Archived: Aspirations Residential Southwest Also known as The Limes

The provider of this service changed - see old profile

All reports

Inspection report

Date of Inspection: 30 July 2013
Date of Publication: 29 August 2013
Inspection Report published 29 August 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 30 July 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. Appropriate care plans were in place that were followed by staff.

Reasons for our judgement

People’s needs were assessed and care and treatment was planned and delivered in line with their individual care plan. We looked at the care records for three people living in the home, spoke to staff and observed those people to see if care records reflected their needs. Each person had an assessment of need in place from which care plans were developed. Care plans were personalised to each individual's needs and from the people we observed we saw that they accurately reflected their needs and wishes. Appropriate risk assessments were in place and all records had been regularly reviewed. The provider may find it useful to note that while we could see care plans had been updated not all files recorded that reviews had taken place. On the day of our visit we spoke with a relative who told us they were happy with the care being provided and were invited to a yearly care plan review.

Care and treatment was planned and delivered in a way that was intended to ensure people’s safety and welfare. We saw that people living in the home had access to regular checks with dentists, opticians and chiropodists.

Behaviour care plans were in place where it had been identified that people needed support to manage their behaviour and anxiety. Behaviour care plans detailed, using a traffic light system, different levels of behaviour for each individual. Staff recorded at two hourly intervals, in individual daily records, what level each person’s behaviour had been. Where this was assessed as amber or red notes recorded what had happened before the change in behaviour, the cause and what was done to stop the behaviour from continuing. We saw that these notes were discussed at staff meetings and handovers to see if any improvements could be made in how people’s behaviour was managed.

We saw examples on the day of our visit of how behaviour plans were implemented by staff. For one person staff used a wall clock with a timer to set a countdown to when an activity was due or an agreed time for having a drink. We saw the person regularly asked different staff when the time would be up and we observed that the response from all staff was appropriate and consistent.

We saw records of monthly meetings between people and their allocated care worker. Notes from these meetings showed how staff discussed with people what activities they would like to take part in. A range of activities were on offer for people, including swimming, visits to the local park, bike rides, shopping and meals out. Activity plans were individualised for each person, although if people felt they did not want to take part in their regular planned activity other choices were offered.The home had the use of a mini-bus which enabled staff to respond to requests from people to go out.