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Archived: Greycliffe Manor Good

The provider of this service changed - see old profile

The provider of this service changed - see new profile

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Inspection report

Date of Inspection: 15 April 2013
Date of Publication: 15 May 2013
Inspection Report published 15 May 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 15 April 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 and talked with staff.

We had a tour of the home, spoke with the manager, area manager and provider.

Our judgement

People experienced care, treatment and support that met their needs and protected their rights.

Reasons for our judgement

We spent an hour in the lounge observing and listening to how staff interacted with people. We saw lots of positive interactions and no negative interactions. For example staff took time to stop and chat with people. Staff talked about their families and about the television programme which was showing. We saw people respond well to this.

We walked around the home and spoke to people living there and watched how care workers interacted with them. Care workers responded to people's requests and listened to what they had to say. People moved freely around the home, they looked relaxed and comfortable in the environment and in their interactions with staff and each other.

People we spoke with were very happy with their experience at the home. One person said “No where is perfect but I’m happy here and it’s almost perfect”. Another person told us “It’s what I need. I am safe and well cared for.”

People told us they saw their doctor when they needed to. One person said “In fact I see the doctor quicker living here than I would have done at home.”

We looked at the care records for three of the people who lived at the home to find out how the home had assessed their health and personal care needs, and how they planned to meet those needs. Each person had a range of documents that related to their care and support needs. We saw that the care staff were in the process of transferring from the previous system of care planning to the new corporate style of care planning. From these documents we saw that people’s needs had been assessed and care and treatment had been planned and delivered in line with their individual support plan. However, the provider may like to note that no all information had been transferred to the new records. For example, there was no mental capacity assessment present in the new set of care records for one person. There was no risk assessment for bed rails available for another person, although staff provided assurances that this had been performed by district nurses.

We looked at three new care plans and saw that they were simple and easy to understand, although they did not contain as much detail as previous care records. For example one person did not have clear instructions on how frequently or how their catheter bag should be emptied.

Risk assessments had been carried out and actions plans to address the risks were in place. We saw examples of risk assessments for mobility. We saw that these were reviewed every three months or more regularly if required. Daily records showed how people had spent their day and how their needs had been met.

We saw that people had access to healthcare professionals where necessary. For example one person had been monitored during a period of ill health. We saw the persons GP had been called and the out of hours GP called when the person became more unwell.

We saw evidence that a risk assessment review had taken place with one person as a result of their skin integrity becoming more vunerable.. The local District Nursing team had been notified and suitable treatment provided and recorded in care records. We saw pressure relieving equipment was present for people who needed it. We saw people had access to mobility aids as appropriate.

We spoke with two health care professionals. Both were positive about the care provided and said communication was good. One district nurse said “I have no concerns, the staff are very attentive when we are here and follow our instructions well.”

We saw that there was a new activities board on display at the home with a sample of how activities would be advertised under the new ownership. Staff said this was not in operation yet but activities were still advertised in the dining room. People told us they enjoyed the age appropriate activities available. One person told us “I like the skittles and darts” Another person said “I like the sing songs.” We saw posters advertising small animal handling. Care workers also said people enjoyed th