Turret Villa Retirement 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 requires improvement. At this assessment the rating has changed to good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

The provider was no longer in breach of legal regulation in relation to consent to care as identified at the last assessment.

People’s needs were assessed and appropriate care provision put in place, including adapting care plans when people’s needs changed. People were supported to maintain their skin integrity, and to maintain a healthy diet and fluid intake. Staff worked well together and with other health and social care partners, which people had access to when needed. People’s mental capacity was assessed in line with the mental capacity act and best interests decisions were put in place if needed.

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

Assessments were carried out before people arrived at the service to ensure their needs could be met. Care planning was robust and person-centred. Records were updated when people’s needs or preferences changed. Some people regularly visited the service for respite care; short term plans were put in place to supported them during their visits.

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.

Care records were person-centred. Where people were not able to share their preferences themselves, family or advocates and other health and social care professionals were included in decisions. One relative said, “It’s a nice home; we discuss any change of care.”

The provider worked well across teams and services to support people. Staff worked well together to give people positive effective care.
Staff told us management were approachable. We observed staff working well as a team, supporting each other. Health and social care partners raised no concerns about how staff worked with them. The local authority team told us the management team had been receptive to their advice and support.

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.
Where people were on specialist diets due to health needs, staff ensured people received the appropriate food and drinks. One person loved to walk in the garden every day to maintain their fitness, staff supported them to do so safely.

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.

People were supported to have maximum choice and control over their lives. Staff supported them in the least restrictive way possible and in their best interests. Staff demonstrated a clear understanding of the principles of the Mental Capacity Act 2005 (MCA). The MCA provides a legal framework for making particular decisions on behalf of people who may lack the mental capacity to do so for themselves. Staff had received training regarding the MCA and policies were in line with the principles of the MCA.

The registered manager had made significant improvements to bring practices in line with guidance since the last inspection. Records showed people’s mental capacity was assessed when needed. Best interests decisions were made on a person’s behalf when they did not have capacity to make decisions for themselves.