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Inspection report

Date of Inspection: 12 June 2013
Date of Publication: 20 July 2013
Inspection Report published 20 July 2013 PDF | 78.54 KB

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 12 June 2013, observed how people were being cared for and checked how people were cared for at each stage of their treatment and care. We spoke with one or more advocates for people who use services, talked with people who use the service and talked with staff.

Our judgement

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

Reasons for our judgement

We spoke with most of the people who used the service at the time of our visit about the care, support and treatment they had received. The majority of feedback we received was positive and people's comments included;” I can't fault them, they have saved my life". "I can’t say it has been easy but the staff are brilliant, we have had a good experience here", "I was close to giving up a few times but the staff got me through it”.

People's needs were assessed and care and treatment was planned and delivered in line with their individual care plan. During our visit we reviewed five people’s individual care files; we did this with the permission of the individuals involved. The unit used 'care pathways' which are care plans / treatment plans which have been devised specifically in relation to the needs of the people who used the service. The plans encompassed their individual conditions and treatment needs. This suggested to us that care and treatment was planned and delivered in a way that was based on the individual needs of the person who used the service.

Discussions we had with management and staff confirmed that the diversity, preferences and choices made by people were respected by the staff at all times. Running alongside this was the clear message that risk had been assessed managed and reviewed at all stages. If this meant that a choice could not be made by the person for example not attending group sessions, clear boundaries were set and adhered to with the person’s agreement to ensure the risk was minimised.

Staff we spoke with were able to describe to us how they encouraged people's involvement in decisions about their care and participation in life on the unit. Staff also told us and how they had obtained the person’s agreement before providing care or support, for example people were invited to participate in discussions or group sessions and encouraged to attend as part of their treatment programme.

We looked at some of the information provided to people who used the service, this was well detailed and provided a good level of information about the services and facilities provided at the unit. It also included information about how to raise any concerns or complaints about the service.