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Inspection on 09/10/06 for Platters Farm Lodge
Also see our care home review for Platters Farm Lodge for more information
This inspection was carried out on 9th October 2006.
CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.
The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.
Other inspections for this house
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What follows are excerpts from this inspection report. For more information read the full report on the next tab.
What the care home does well
On the whole the environment is designed, decorated, furnished and maintained to a very high standard. Service users continue to speak highly of the staff team and the way they support them. Comments made include, " Staff are very good, food very good, we always have options" " Staff are excellent and very respectful, food is excellent."" I am offered a cup of tea if I wake at night" " On the whole carers are brilliant" The home`s staff undertakes in depth assessments of service users prior to admission and this continues following admission. The home offers a range of activities and sessions of rehab to help motivation residents either to return home or for stimulation in the residential home; activity staff and care staff carry this out. As part of the home`s integrated working with outside agencies,they run an outreach falls clinic once a month and work closely with the rapid response team.
What has improved since the last inspection?
Training has started for all rehab support staff, which includes learning about specialities of the nurses, physiotherapists and occupational therapists. The plans for service users in the intermediate unit are now reviewed after the first two weeks and a new discharge planning form has been implemented. After the first multi disciplinary team meeting on admission a provisional discharge date is agreed. The nurses have made up core care plans to cover specific orthopaedic and nursing needs to bridge the gap between admission and assessment by all the multidisciplinary team. A single assessment process is being used, Rapid Response completes an assessment profile and the unit takes all the key information from that to make up the care plan.
What the care home could do better:
In practice there is still a delay in the occupational therapists seeing new admissions particularly if over a weekend. This is due to the lack of occupational therapists in the Rapid Response team and existing occupational therapists having a large area of responsibility to cover. The home is looking at how to address this problem. A requirement was made to ensure written evidence of agreement to share a room is kept on their care plans and to ensure that no one shares a room unless they have agreed to do so. Care plans need to reflect occupational therapists` and physiotherapists` programmes, including any changes that are made. Rehabilitation care plans also need to reflect individual needs as well as core needs defined by nursing and orthopaedic procedures. It has become clear over a period of inspections and the monitored use of communal space in the rehabilitation respite service that additional communal space is needed. The home has recognised this and have plans to move the rehabilitation room to create an additional lounge area. Medication record keeping on the rehabilitation unit must record clearly amounts of medication brought in, how much is used and what is being returned. The unit must also ensure that it has a system in place that ensures that staff are competent to administer medication.