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Inspection report

Date of Inspection: 8 March 2011
Date of Publication: 19 August 2011
Inspection Report published 19 August 2011 PDF | 121.79 KB

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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 reviewed all the information we hold about this provider, carried out a visit on 08/03/2011, checked the provider's records, observed how people were being cared for, reviewed information from people who use the service, talked to staff and talked to people who use services.

Our judgement

Patients using the service receive care, treatment and support as detailed in their care plan that meets their individual needs, choices and preferences.

User experience

Patients told us that they had a care plan and that they had been fully involved in the assessment process and in setting treatment goals. They said that their care plans were regularly reviewed with their primary nurse and that they had agreed any changes in the plan of care. Several patients told us that they had received a personal information file which was being introduced in the trust. They said that the documentation was going to be discussed at one of the community meetings.

Other evidence

Staff explained that the units have admission criteria that patients have to meet before admission. When a patient is to be admitted staff use a checklist to ensure that the patient has received basic information about what to bring into the unit, the way the service is provided including the rules and treatment expectations, the timetable of community and ESPD programmes and introductions to the key staff involved in their care.

Staff showed us the personal information file which included information about the care programme approach, the care plan and a personal recovery plan. The recovery plan booklet was to be used by the patient to identify individual goals and aspirations which they could then share with family and/or carers.

The trust uses the Rio care planning system to document individual risk assessments, the plan of care, interventions and reviews. The trust has a programme of audits which includes regular audits of care planning.