Windsor Court Residential Home

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence.

At our last assessment we rated this key question good. At this assessment the rating has

remained good.

This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The registered manager made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them.

People, and where appropriate their relatives, were involved in initial assessments of people’s needs and risks before people came to live at the service. This helped to ensure staff were able to meet their needs.

People’s needs were reviewed regularly and where there were changes, their care documentation was updated promptly so that staff had access to up to date information and could provide them with appropriate support. Staff were informed of any changes during daily meetings. A staff member told us, “Residents’ assessed needs are communicated through care plans, risk assessments, and daily handovers. We receive updates at the start of each shift and are informed immediately of any significant changes. Team meetings help ensure care is consistent and person-centered.”

The provider planned and delivered people’s care and treatment with them, including what was important and mattered to them. They did this in line with legislation and current evidence-based good practice and standards.

Staff used recognised assessment tools and monitoring processes to identify, manage and review risks associated with people’s care. This supported the timely implementation of appropriate interventions and helped promote positive outcomes.

People’s nutritional, hydration and healthcare needs were assessed and managed in line with professional guidance. Staff understood how to support individuals with specific dietary requirements, including those who required modified food textures or thickened fluids to reduce the risk of choking.

Where appropriate, families, advocates and healthcare professionals were involved in planning and reviewing care to ensure decisions reflected people’s needs, preferences and best interests. Staff worked collaboratively with external professionals to ensure care and treatment remained safe, effective and based on current evidence and best practice.

Staff worked well together to provide people with consistent and coordinated care. Effective communication systems, including daily meetings and shift handovers, ensured staff were aware of any changes in people’s needs, preferences and risks. This enabled staff to respond promptly and provide care that reflected people’s current needs.

The management team promoted a team-based approach, with staff sharing information and working collaboratively to support positive outcomes for people. Staff spoke positively about communication within the service, and relatives told us improvements in communication had helped ensure care was delivered consistently. A staff member said, “As a carer, I report any concerns or changes in a resident’s condition to senior staff and healthcare professionals. I follow guidance provided by GPs, nurses, and other professionals and ensure it is reflected in the care I deliver. I also communicate effectively with colleagues during handovers to promote consistent and safe care.”

The provider supported people to manage their health and wellbeing to maximise their independence, choice and control. Staff supported people to live healthier lives and where possible, reduce their future needs for care and support.

Staff worked closely with GPs, community health teams, and other professionals to ensure people received coordinated, consistent, and effective care. Health professional’s recommendations were embedded into people’s care and support plans and implemented by staff.

Staff supported people to manage their health and wellbeing to maximise their independence, choice and control. People’s nutritional needs and preferences were assessed and well understood by staff. A person told us, “The food is very good, and I enjoy my breakfast more than anything, but I also like the choices I get at lunchtime.”

Staff helped people access healthcare professionals promptly, and relatives described being informed quickly when concerns arise. People’s emotional wellbeing was supported through caring interactions, and staff showed empathy and patience.

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they met both clinical expectations and the expectations of people themselves. Care records were reviewed regularly. Where people were at risk of losing too much weight, their weight was regularly monitored and action taken if needed. Care plans were person-centred and supported staff to provide the right care to people.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment.

We found people were involved in decisions about their care, and where they lacked capacity to make these, relatives and those close to them helped staff make best interest decisions on their behalf. A staff member told us, “My understanding of the Mental Capacity Act indicates that every adult has the right to make their own decisions and must be assumed to have the capacity to do that unless proven otherwise. I cannot just assume that they lack capacity simply because they are ill, advanced in age or have a medical condition.”