Health and Personal Care

The intended outcomes for Standards 7 – 11 are:

7. The service user’s health, personal and social care needs are set out in
an individual plan of care.
8. Service users’ health care needs are fully met.
9. Service users, where appropriate, are responsible for their own
medication, and are protected by the home’s policies and procedures for
dealing with medicines.
10. Service users feel they are treated with respect and their right to
privacy is upheld.
11. Service users are assured that at the time of their death, staff will treat
them and their family with care, sensitivity and respect.

The Commission considers Standards 7, 8, 9 and 10 the key standards
to be inspected.

JUDGEMENT – we looked at outcomes for the following standard(s):

7 – 10
People who use the service experience good outcomes in this area.
People can be confident their physical and health care needs are understood
and will be met. Improvements are being made in care planning to ensure
their emotional, social and spiritual needs are also identified and met. People
benefit from the support of staff who treat them with respect and maintain
their privacy and dignity.

This judgement has been made using available evidence including a visit to
this service.

EVIDENCE:

People who live in the home have a plan of care; three of these were inspected
in detail during the visit. There have been clear improvements to care
planning in the past year. A new member of nursing staff has been recently
appointed to develop care plans further. The Manager is aware that further
development is needed to more comprehensively reflect people’s emotional
and social needs. The new owning company is reviewing care planning
documentation to promote a more holistic and individualised approach. Nursing Care
plans are reviewed regularly and comprehensively address people’s physical
and nursing needs. Risk assessments are in place for each resident. The
standard of daily record keeping is generally good however the focus of these
records is on people’s physical care with limited information about emotional
well being.

People benefit from having a named key worker on the staff team, this ensures
good communication of information about their health and welfare. Visitors
who were spoken to said staff are very good at keeping them informed.

People who live in the home are protected from harm by safe handling of
medication. The medicines room is clean and well maintained. Records show
that all staff administering medications have been trained and signed off as
being competent to do so. The Medication Record Administration Record
(MAR) sheets for the morning had been signed to show that the residents had
taken their medicines.

People can be confident their healthcare needs will be met. The nursing home has
developed good working relationships with the specialist and local health care
professionals. Residents feel that staff are kind and gentle, this was confirmed
by observation during the visit. Staff are considerate of the age and dignity of
residents and treat them with courtesy and respect.

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