Trewan House Care 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 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 71 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The provider made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them. Care plans were detailed and focussed on people’s personal likes, preferences as well as their physical care and support needs.

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. The provider used evidence-based tools to assess people’s individual risks in areas such as weight and skin integrity. These tools were used effectively to monitor any change in people’s needs and risks.

The provider worked well across teams and services to support people. We were assured the provider worked well with external professionals to help achieve good outcomes for people. For example, for a person who experienced recurrent falls, staff referred to the community falls team for their input on measures to reduce the risk. The provider worked alongside commissioning partners to increase the level of staffing support for this person, which had a positive impact on reducing the number of falls they experienced.

The provider supported people to manage their health and wellbeing to maximise their independence, choice and control. Staff and leaders understood the need to work with external professionals to support people to live healthier lives. A visiting health professional provided positive feedback regarding the care and support provided to people in the home. They told us staff were knowledgeable about people's needs and risks, and staff escalated health concerns when needed. Records we reviewed confirmed this, as we saw staff contacted health professionals when they were concerned about a person’s cough and when they were concerned about a person’s skin.

Although the provider routinely monitored people’s care and treatment, these reviews were not always effective. Reviews did not always identify inconsistencies in record keeping in relation to a person’s modified diet and another person’s repositioning frequency to reduce the risk of skin related harm. We shared our findings with the provider who gave assurance monitoring processes would be strengthened.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. Staff sought people’s consent before delivering care and our observations found people were involved in day-to-day care decisions. We saw appropriate processes had been followed to assess people’s ability to consent to specific decisions and where applicable, we found decisions were made in their best interests following the correct legal processes.