Archived: Lound Hall

We found that the improvements that they told us about had been introduced.

We saw that good guidance on cleaning different areas was in place. When we checked toilets and commodes we found these to be clean.

We found that a move to a new pharmacist had resolved the problem of excessive stocks of some medicines. Guidance had been put in place regarding the administration of medicines that were needed on an occasional basis. The deputy manager confirmed that risk assessments would be carried out, and records put in place when there were people who managed some of their own medication.

We looked at care records for people with diabetes and found that they were all complete. Guidance was in place for supporting people who became anxious or agitated with the strategies that worked best for each person being clearly laid out.

One person told us, 'They could answer the bell a bit quicker but the staff are very good.' Another person told us, 'They've been very good to me and looked after me well but I don't like not having a toilet in my room.' One person's relative said, 'All of the staff seem very happy in their work.'

We found that people expressed their views and were involved in making decisions about their care and treatment. We also found that people's needs were assessed and care and treatment was planned and delivered in line with their individual care plan.

There were not always effective systems in place to reduce the risk and spread of infection.

Appropriate arrangements were not always in place in relation to the risks associated with the unsafe use and management of medicines. However we also found that there was evidence that learning from incidents and investigations took place and appropriate changes were implemented.

During our review of care records in relation to people with diabetes we found that people did not always have proper information about their care and treatment recorded.

During this inspection we looked at how information in medication administration records and care notes for people living in the service supported the safe handling of their medicines. We found there to be improvements since the previous inspection and that the requirements of the warning notice had been met. However we highlighted areas the provider should note for further development in relation to the management of medicines.

Care needs were assessed and action taken when changes were needed. Outside specialists were asked for advice, for example if a person showed a pattern of falls.

The provider had safeguarding policies and training to ensure people were protected from abuse.

Staffing numbers were appropriate for the current needs of those in the service. The provider had made changes to staffing to reflect the needs of the service.

Records were up-to-date and kept secure and confidential.