Springfield - Care Home Physical Disabilities

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 as good. At this assessment the rating has remained as 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.

People’s care records showed assessments were undertaken prior to using the service. Care plans were compiled and reviewed and could be reviewed sooner if a change to a person’s care needs necessitated an earlier review. This helped staff understand how to provide care and support that reflected people’s individual needs and preferences.

Care plans were detailed and referred to relevant areas dependent upon people’s current care and support needs. For example, care plans included keeping a check of people’s skin integrity, hydration and nutrition. A care worker told us, “We encourage people to buy and cook healthy foods, but we respect people’s decisions to buy what they want to eat.” People had their own kitchen area within their flats and received a weekly amount to buy the food and drink they wished to.

We did not look at How staff, teams and services work together during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at Supporting people to live healthier lives during this assessment. The score for this quality statement is based on the previous rating for Effective.

Processes were in place to ensure people had equity in outcomes as people’s care and support was monitored. Care plans highlighted people’s diverse needs, preferences and aspirations and staff were trained in quality and diversity. As a result of this we saw people’s wellbeing had improved and their independence increased. A care worker told us, “Idea is to support people to be independent as possible and move into the community. Support people with kindness compassion and dignity promoting and encouraging personal choice. Give as much control over their own lives as possible.” The service had working relationships with health care services such as the GP reviews which occurred every week, diabetic nurses, district nurses, speech and language therapy and one person was observed visiting the dentist.

Staff supported people to understand their options and make their own choices rather than making decisions on their behalf.

People can only be deprived of their liberty to receive care and treatment with appropriate legal authority. In care homes, this can be done through a procedure called the Deprivation of Liberty Safeguards (DoLS), which is part of the Mental Capacity Act 2005 (MCA). We checked whether the service was working within the principles of the MCA and how they managed DoLS within the service. We found that staff and management worked within the MCA. Information on people's mental capacity and decision-making abilities were recorded in detail in their care plans and staff were trained. People were not subject to unlawful or excessive restrictions they had choice, control and freedom over their lives. People were encouraged to be involved to share their views and make decisions about their care and each person using the service had capacity to do so.

Everyone using the service was able to provide informed consent. The provider had policies and procedures in place to respond when people may need to have their capacity assessed, although this had not been necessary for people currently using the service.

People were supported to understand their rights around consent before staff provided them with care and support. People were listened to and their feedback was used to make changes to the care and support they wanted. Staff understood people’s right to receive care and support that met their individual needs. A care worker told us, “I always seek consent from people before providing care.”