Beverley 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 79 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The management team made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them. Prior to admission, the management team gathered information and assessed people's needs which was used to create care plans. Care plans were reviewed and updated with people and their representatives.

The management team 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.

Care plans showed people were involved in their development, and they were specific to people’s needs and circumstances. Evidence based tools were used to assess areas of risk, such as pressure damage and falls. Staff had access to care plans and risk assessment to read them as and when needed.

The management team understood where to seek advice and support from to keep up to date with best practice.

The management team worked well across teams and services to support people. They made sure people only needed to tell their story once by sharing their assessment of needs when people moved between different services.

Staff worked closely with health and social care professionals and external services to ensure people had access to the services they needed. They approached professional relationships positively, with the aim of improving working relationships. Where staff believed people were not receiving the right support, they continued to advocate on their behalf. A professional said, “There was an occupational therapy assessment, [the management team] disagreed with it and pushed for another one which was more in-depth.”

A consistent staff team worked closely with people and each other across the service. Staff told us of positive and effective teamwork. Staff said, “Everyone knows what roles they’re doing and what needs doing” and “It’s friendly amongst the staffing team, we are a good team.”

The management team always 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.

People were supported to live healthier lives through personalised support which promoted engagement with healthcare services. Some people had disengaged with healthcare services where there were concerns about their health. Staff had empathetically supported people during healthcare appointments and to understand important information about proposed tests, which had resulted in people re-engaging with healthcare services. This meant important examinations and biopsies had taken place with the aim of maintaining or improving people’s health.

People were supported to stay physically well through regular exercise. Fitness classes were regularly held where people could participate as much as they wanted to and staff promoted mobilising regularly. Physiotherapists had been involved with some people and provided exercises to complete with the aim of maintaining people’s mobility and independence, though some people had disengaged with physiotherapists, staff gave positive encouragement which led to people re-engaging with physiotherapy exercises. Staff supported people with these exercises which helped to maintain people’s physical wellbeing.

Where people wanted to make health and lifestyle changes, staff offered tailored support to help people achieve these aims. For example, one person wanted to stop smoking, staff sought advice from relevant professionals and supported them with accessing nicotine replacement products to ensure the person had access the right tools and advice to help them achieve their aim.

Staff considered people’s dietary needs and how they could be best met. The kitchen team fortified meals for those who needed it and considered how they presented modified diets to make them more appealing to encourage people to eat more. Staff regularly offered people a variety of snacks and drinks throughout the day. Where people needed assistance with food and drinks, staff offered appropriate support.

Staff made referrals to relevant healthcare professionals where they had concerns about people’s health or wellbeing. Staff followed professional advice worked to address any concerns.

The provider monitored people’s care and treatment to improve it. They ensured that outcomes were positive and consistent, and that they met both clinical expectations and the expectations of people themselves.

Systems were available to support the effective monitoring of the care people received. For example, there were regular staff handovers and monitoring charts were available to record the care people received with pressure care and food and fluid input. We found one person would benefit from closer monitoring of their fluid input and output and fed this back to the registered manager who promptly implemented closer monitoring.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. Staff sought people’s consent, respected their right to refuse and provided people with support when people were ready to accept support. Staff were trained in mental capacity and DoLS.