King Charles Court

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 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 assessed before they went to live at King Charles Court. At pre-admission assessments, people’s needs relating to their physical and mental well-being were reviewed to help ensure the service was able to provide appropriate care and support.

People told us they could access their care plans. Care plans were updated regularly and when people’s needs changed, to help ensure care remained in line with people’s needs and preferences. Team leaders met with people bi-monthly to review care plans and how their care and support was organised. Relatives were also involved in care plan reviews where appropriate.

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’s care plans reflected their support needs and included enough information to enable staff to meet people needs.
People were supported in line with evidence based best practice. For example, staff were reminded of the importance of supporting people with their oral health on a daily basis. Poor oral health can lead to pain, difficulties with eating and nutritional deficiencies impacting on overall health.

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.
The service made prompt and appropriate referrals to NHS services to ensure people’s needs were met. Any advice professionals provided was acted upon promptly and the registered manager ensured all necessary checks were completed.
Staff shared information effectively to support consistent care delivery. Key staff had daily meetings every morning to review people’s needs, ensuring important updates were communicated to all staff members.
Staff told us they communicated well together and were kept up to date with any changes. Handover notes and regular staff meetings meant information was shared across the staff team.

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 were encouraged to do things for themselves and to be as independent as possible. Staff supported people to exercise, access the community and engage with their individual hobbies and interests.

Records showed staff made appointments with GPs, opticians and dentists when required to ensure people’s wellbeing.

People were all complimentary of the food and had access to a healthy diet. One person had struggled with eating, and time was spent with the person discussing their dietary preferences. The person’s relative told us, “[Person’s name] likes sweet and sour chicken and, to encourage them to eat, this meal is cooked every Thursday. It’s encouraged [Name] to eat, as it has been difficult. (As a result) they have gained weight.”

Staff were aware of any dietary needs and prepared appetising alternatives when required.
Activities included gentle exercise sessions. These are important to help people maintain their mobility and strength.

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.

There was a good oversight of people’s needs. When people had been identified as at risk of declining health, staff monitored them so they would be aware of any changes. Indicators of concern were recorded in care plans. Some people needed support to move to protect them from developing poor skin integrity. Records were completed to evidence this was completed in line with care plans.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment.
Staff sought people’s consent and respected their decisions and choices in relation to how their support was provided. A person told us, “When I call staff even though they usually know what I want, they still ask me to check. They ask my consent before they help me and when they help me to bed, they check that I am comfortable before I leave.”
Care plans showed people who were able to, had consented to their plan of care. When there were power of attorney arrangements this was documented.
Staff asked people before providing care and consistently offered people choices about how and where they spent their time. Staff described how they respected people’s decisions and the action they would take if they declined care. Their approach focused on encouraging people to accept personal care without pressurising or imposing support on them.