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Inspection report

Date of Inspection: 26 August 2014
Date of Publication: 24 September 2014
Inspection Report published 24 September 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 26 August 2014, 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 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

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

Reasons for our judgement

Due to the limited communication skills that people had, we observed their interactions with staff who spoke with them in a way that they could understand. We saw that staff had a kind and caring approach towards the people they supported. People looked happy, comfortable and relaxed in their home. We spent time with both people and observed that staff gave them gentle encouragement to complete a task. For example, a care worker encouraged a person who sometimes did not eat enough lunch. We saw that after a few minutes the person started to eat. This meant that staff supported people and possessed knowledge of how people responded to them.

We reviewed the care records for the two people and saw how their care had been provided and managed. This was evidenced in the daily records that staff had completed. The files included clear information about what people could do for themselves and where they needed support or assistance. We saw that these care records had been reviewed regularly and ensured that people's needs had been met as any changes had occurred. Staff told us they made sure they were fully up to date with any changes to people’s care needs. We saw that any changes made to people’s support needs had been accurately recorded. This made sure that staff had the information they needed to enable them to provide consistent care. This meant that care and treatment was planned and delivered in a way that was intended to ensure people's safety and welfare.

We asked a care worker how they knew people’s needs by the time they were admitted to the home. The care worker told us about the person who had been admitted the previous day. They explained the person was admitted regularly for respite care. They said: “I read their folder (care records) a few days before they arrived and staff told me to ask them any questions I had. I went back to the folder they day before admission to check on a couple of things.” During our inspection we observed the care worker providing appropriate support to the person.

We found that staff had a good knowledge of the care needs of the people whose care records we had read. This matched the information in the care records and the care we saw people received during our inspection.

We saw that plans were in place that made sure staff had information to keep people safe. Risk assessments had been carried out whenever a risk had been identified. They included risks both within the home and the community. For example, we saw that for one person, a risk had been identified regarding use of transport and road safety. We noted that there were plans in place that told staff how to support people who were considered to be at risk. Staff confirmed that people’s care plans and risk assessments were regularly reviewed and updated. This ensured that any changes in care needs were planned for and met. This meant that people received the support and care they needed, whilst the risk of harm to them was minimised where possible.

The records told us staff had supported people in experiencing their preferred social activities. For example, one person enjoyed walks, going to the park and watching DVD’s. We observed staff asking people what they wanted to do after lunch. Staff responded to people’s requests. For example one person wanted to sit in a specific room and do colouring. Staff assisted the person in doing this. This meant that staff provided the necessary safe support to assist people in achieving their goals.

We used the Short Observational Framework for Inspection (SOFI). SOFI is a specific way of observing care to help us understand people’s experiences. We spent 50 minutes in the dining room watching both people during lunchtime. We found they had positive experiences. Staff supporting them knew what support they needed and they respected people’s wishes. Staff encouraged people to manage on their own, sat with people, chatted with them and gave praise when people had eaten their lunch. This