Village Green 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 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. Staff carried out assessments before people started using the service. They involved people, relatives and professionals in this process.

The provider had appointed an admissions coordinator to support assessments and admissions. They worked with people before and after admission to ensure care reflected their needs and preferences. They also helped staff become familiar with people's histories, routines and support needs.

Senior staff developed care plans from these assessments. They understood people's needs well and adapted support accordingly. Staff shared information effectively and responded when they identified changes in people's health or wellbeing. Staff involved relevant professionals when needed and acted on their recommendations.

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.

Staff monitored people's health and wellbeing and sought professional advice when required. Records showed staff followed recommendations and acted on changes in people's needs. Staff supported people with specific dietary needs and followed professional guidance to manage identified risks.

Staff monitored people's hydration and took action to reduce the risk of dehydration. During recent periods of hot weather, staff introduced enjoyable ways to encourage fluid intake. For example, people could choose ice lollies and iced coffee to help maintain their hydration.

Managers maintained oversight of care delivery through audits, reviews and monitoring systems. Records showed staff used recognised assessment tools where appropriate. They reviewed outcomes regularly to help ensure people received effective support.

Staff worked well together and with other professionals to support people's needs. People and relatives told us communication was effective and care remained consistent.

Staff shared information through care records, handovers and team discussions. This helped staff understand people's needs and provide consistent support.

Staff worked closely with healthcare professionals and other agencies. They sought advice promptly, shared relevant information and acted on recommendations. The newly appointed clinical lead had strengthened working relationships with external professionals. This improved communication and joint working. The provider promoted effective communication within the staff team and with external professionals. They monitored information-sharing systems to ensure staff had access to current information about people's needs.

Staff supported people to live healthier lives and where possible, reduce their future needs for care and support. Staff supported people to manage their health and wellbeing and maintain their independence. People took part in decisions about their health and received support that reflected their needs and preferences. Staff encouraged healthy lifestyles and supported people to remain active.

Staff monitored people's health and recognised changes in their wellbeing. They sought advice promptly and acted on recommendations from healthcare professionals. One person moved to the service receiving end of life care. Following ongoing effective support, their health improved and professionals no longer considered them to be at the end of their life. Staff also supported people to access healthcare services, including GPs, dentists and other specialists.

Managers maintained oversight of referrals, appointments and health outcomes. Records showed staff responded promptly to changing needs and involved relevant professionals when required.

he 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. Staff monitored people's health, wellbeing and progress and used this information to improve outcomes. People and, where appropriate, their relatives contributed to reviews and discussed what was important to them.

Where people received 1-to-1 support intended to help reduce periods of distress, staff kept detailed records. Leaders reviewed this information to identify effective approaches and make changes where support did not fully meet people's needs.

Leaders monitored outcomes through reviews, audits and oversight systems. They used feedback from people, relatives and professionals to improve care and support. Records showed managers acted when they identified concerns or areas for improvement.

Staff worked with healthcare professionals and followed their recommendations to support positive outcomes for people.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. Staff respected people's right to make decisions about their care and support. People told us staff listened to their views and involved them in decisions. During the inspection, we observed staff seeking consent before providing support and respecting people's wishes.

Staff understood the principles of the Mental Capacity Act 2005 and supported people to make their own decisions wherever possible. They used appropriate communication methods to help people understand information and express their preferences.

When people lacked capacity for specific decisions, staff followed the correct processes. Records showed staff completed capacity assessments and best interest decisions when required. Staff involved relatives, advocates and other professionals where appropriate.

Care plans included information about people's capacity, preferences and decision-making support needs.