You are here

Archived: Cartmel Old Grammar

The provider of this service changed - see old profile

All reports

Inspection report

Date of Inspection: 3 December 2013
Date of Publication: 7 January 2014
Inspection Report published 07 January 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 3 December 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, talked with staff and talked with commissioners of services.

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

During our visit to Cartmel Old Grammar Care Home we observed staff as they went about their duties and interacted with the people living there. We spoke with the manager, staff and people living there and we looked at care records (this is called pathway tracking). We spoke with people living there about the support they received in the home and they told us they were able to follow their own interests and religious beliefs. People told us that they went out with their friends and families and took part in the home's organised activities as they pleased. During our observations we saw some people moving freely around the home, some with staff support. We saw staff prompting and asking people if they required help to do something or with their meal or to have a drink.

We saw that the home had a programme of activities for people to take part in within the home. We looked at the records of the activities taking place for individuals over the last two months. We could see that for a period of time earlier in the year these activities had not been taking place as planned. From looking at records and speaking to the manager and staff we found this had been at a time when staff levels were low and the staff member had been needed to make sure safe staff levels were maintained for the people living there. The activities records indicated that the activities programme had been re-established.

People at the resident's meeting told us about tea dances held locally they had attended, a Halloween supper and bonfire party the home had put on. Some people had been baking and making sweets and there had been musical entertainment, quizzes and religious services on a regular basis. Other people had been out shopping and a range of seasonal entertainments had been arranged for over the Christmas period.

People's individual records indicated attention was paid to making sure that people were supported to give consent or be supported in their best interests about things that affected their welfare and support choices. For example we could see in records and asking people that they had been asked about having their photograph taken for care records. We saw that general consent for care and treatment had been sought and, where possible, people had signed their own care plans to indicate their agreement. There was information on where powers of attorney applied if support was needed to make decisions in someone’s best interest. It was not clear in the care plans if this authority was for financial or care and welfare decisions. The provider may want to note that.

We saw that people were being given choices about their care and lives in the home in a way they could easily understand. Where people needed additional time to be able to express their views and wishes we saw staff gave them the time they needed to do this. The staff in the home took the time to talk with people as they went about their duties. We saw many positive interactions between the staff on duty and people who used this service. These positive interactions supported individuals' wellbeing.

We saw that people's future preferences about care had been discussed with them where appropriate as part of preparing for their future care, should their condition change. We looked at the records the service held about people who lived there and at five in detail. We were told “I have no complaints” and also “I like my room, it’s very nice here”.

There were assessments in place regarding relevant activities of daily living and assessments from other agencies such as the dietician and speech and language therapist. These assessments and supporting information made it clear about what people's needs and preferences were and what they needed help with or wanted to do themselves. One person living there told us, “They (staff) encourage me to stay active and do what I can. I want to stay as independent as I can”.

We found that all the people who lived at the home had an individual plan o