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Mallands Residential Care Home

Rating: Outstanding
Date: May 2018

READ CQC REPORT

‘The computerised care planning system ensured that information about people’s risks was shared efficiently and promptly across the staff team. This meant staff had detailed knowledge of people’s individual risks and the measures necessary to minimise them. The registered manager had an oversight of the support being provided at all times. This system could also be accessed by relatives with the persons consent.’

‘Information about people’s individual risks was accessible to all staff, using hand held computers to access the computerised care planning system. Risk assessments had been completed related to a range of areas including falls, nutrition, pressure area care and cognitive difficulties. They were reviewed monthly or more frequently if required. The system prompted staff to undertake the tasks required to minimise the risks and ensure people’s needs were met, for example supporting people with fluids or repositioning them to prevent skin breakdown. Any immediate changes to people’s level of risk were discussed at the staff handover and the information added promptly to care records. A member of staff told us, “Any new information is shared in handover and put straight into the care plans. Everything is recorded as the day goes on”. This meant staff had clear and up to date information showing how they should support people to manage the risks while ensuring they had as much control and independence as possible.For example, one person’s care plan advised staff to “take the time to sit down and chat with me”; if they observed that the person was feeling low in mood or anxious.’

‘Any accidents or incidents that took place were recorded by the staff on the computerised care planning system. The system prompted staff to describe the incident and explain what they had done to resolve the issue. This information was reviewed and analysed by the management team, and action taken where required, to prevent reoccurrence.’

‘People at risk of dehydration and malnutrition were on ‘food and fluid watch’ which meant the registered manager had additional oversight of people’s food and fluid intake using the computerised care planning system.’

‘The information gathered during the initial assessment was put onto the computerised care planning system prior to the person moving in. This enabled staff to familiarise themselves with it and provide care tailored specifically to the persons individual needs. People’s care records were reviewed three days after admission and then at least monthly to ensure they remained up to date, with the involvement of people and their representatives every three months. Representatives were also able to access the computerised care planning system, with the consent of their family member, which gave them continuous oversight of the support being provided by the service.’

‘The computerised planning system gave the registered manager oversight of the support being provided to people. They told us, “All the information is there. I can look at any given time day or night and see what care is being provided at that time”.’

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