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Archived: Belgravia Nursing and Care

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Inspection report

Date of Inspection: 27 January 2014
Date of Publication: 12 February 2014
Inspection Report published 12 February 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 looked at the personal care or treatment records of people who use the service, carried out a visit on 27 January 2014, 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 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 experienced care, treatment and support that met their needs and protected their rights.

All six of the people we spoke with said they felt their or their relatives support needs were met by staff. One person told us “They choose the staff to fit my needs, for me this is perfect.” Another person told us “Staff are very pleasant, very kind, and do their best. They are brilliant.”

The manager and staff were able to describe specific needs of individuals and how they met those needs. One person told us “I think they do a very good job and adapt to situations that may arise very well. We have a variety of specialist equipment and the staff quickly picked up how to operate it correctly and safely.” Another person said “The staff have been sensitive to my family member’s needs. They are aware of their particular condition and know how to care for them.” A third person told us “They do the job rather quickly sometimes, but they get everything done that they are meant to.” From speaking with people we saw that care had been provided in a way that met their needs.

We saw that people had an assessment of their needs completed before they joined the service. These had been completed by the manager or another senior staff member. They identified the specific care and support needs of the individual. This included any religious or cultural needs. One person told us “We had a very good assessment that was completed by a trained member of staff. They did a very good review of our needs.”

We saw that people’s support needs had been recorded in care plans. These recorded a number of aspects about how to support each person. The information on these plans matched with the information that had been recorded during the assessment process. We saw that where changes had been needed the plans were updated to reflect those needs. A staff member told us “I review the care plan every day to check for changes. I also get a handover from my colleague about any changes. The office review the care plans all the time. If I see any changes are needed I call the office and they update the plan.”

We saw that staff kept a record of support given in the daily notes. These notes showed that support had been given as detailed in the care plans. The manager said that the daily support notes were reviewed when they were returned to the office. They said that the person who reviewed them signed the front of the pack to show it had been done. They were reviewed to ensure that the care recorded matched with that specified in the care plan. The provider might like to note that on the four files we checked the daily support notes had not been signed to signify that they had been reviewed. The manager explained that they would get the front sheet changed so there was a clear space for the person to sign that they had checked the notes. People we spoke with confirmed that they received the support they needed and had agreed to.

Staff had received training in areas such as catheter care which would ensure they had the necessary skills to meet the individual needs of the people they supported. People we spoke with confirmed that staff were well trained and could meet their needs.

We saw that risk assessments had been completed to ensure the welfare and safety of people who used the service. For example in the care files we looked at there was a section for risk assessments. These covered areas such as risk from falling and infection control around the use of catheters.

There were plans in place for dealing with emergencies that could affect the service. We saw a business continuity plan was in place. This detailed how the service would respond to a number of emergencies. This meant that the impact on peoples care would be minimised if an emergency took place.