China Cottage 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 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. People’s needs were identified and assessed appropriately in person-centred care plans. Care plans were reviewed regularly and people and their families kept informed about any changes. A relative told us, “The staff have done a care plan and if anything changes, they keep me posted.”

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. People were offered drinks throughout the day and hydration stations were in place throughout the care environment. Changes in people’s weight was monitored in their care plans. The food prepared for lunch was of a good standard and people were supported to makes choices about the meal option they preferred. One person told us, “The food is nice and there is enough choice.” Another person said, “The food is nice but I would like something different and more variety.” We spoke to the kitchen manager and they confirmed if people did not want the meal choices for the day, then people could request alternative meals and these would be provided. We observed some people eating alternative meal options of their choice.

The provider 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. There were regular handover meetings between teams of staff and members of the management team. This ensured updates about people’s health and well-being were discussed and continuity of care and support was in place. Members of staff were able to access information they needed to ensure care was delivered appropriately.

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. People had good access to health and care professionals. The local GP visited in person every 2 weeks and was available for additional visits as and when required. We observed the GP attend the care home, at the request of the provider, to review a person’s needs and provide clinical support for their health condition. A visiting health professional told us members of staff were supportive and there were no problems with communication or support. There was a positive working relationship between the management team and the community nursing team.

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured outcomes were positive and consistent and met both clinical expectations and the expectations of people themselves. People’s care needs and outcomes were recorded in their care plan. Processes were in place to monitor people’s outcomes and maintain accurate information about their care and support. Catheter passports were in place for people who required them. They were maintained and updated by the community nursing team following clinical support visits.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. People were asked about their consent for care and support. Members of staff respected people’s views and preferences. People’s capacity to make decisions was reviewed under the Mental Capacity Act 2005 (MCA) and where people lacked capacity, decision were made in people’s best interests. We found the service was working within the principles of the MCA.