Cotleigh

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 had up to date care plans in place, to guide staff about how to safely support people, in line with their wishes and preferences. For example, 1 person's care plan detailed they enjoyed cooking and staff to encourage conversations about cooking and involve them in cookery activities. Staff knew people well. One person told us, “Staff help me, it is my choice. My room is marvellous, great. I don't like my bed under a window, so it is in the middle of my room. I knit teddies for the children's hospital; I have done over 200 whilst I have been here. If I had any problems I would tell staff, but I don't have any problems. It amazes me, the patience of the staff.”

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 supported by a range of healthcare professionals, to ensure they had their needs met. This included a GP, occupational therapists, opticians and speech and language therapists. Where a person had a skin breakdown, equipment was put in place, district nurse teams involved and repositioning was put in place, to minimise their risk. A relative said, “The staff are excellent, they always ring me if anything happens. [Name] had a health concern, and they were quick to organise equipment. We had a meeting with the family, the GP, and a team leader to go over what was required.” Care plans detailed people's current health needs and professionals’ guidance. One person said, “The staff check on me day and night, I can’t fault them.”

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. Staff told us the morale within the team was good and they worked well together. A staff member told us, “Staff are lovely, we work together as a team, more importantly staff make sure everything is done for resident's, you can see that they care.” Professionals were positive about the home and told us staff worked well with them, to effectively meet people's needs. A visiting professional said, “Staff are very helpful, any questions and they will help out. People seem happy and well cared for.”

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 offered a variety of meals, including fresh fruit and salads. People had drinks and fruit in their own rooms and people told us they enjoyed their meals. One person told us, “The food is good, I have never refused a meal.” And a relative said, “[Name] hates mash, so they always do something else for them. The kitchen provided gluten free food (to allow us to eat there) – no problem. They’re obviously used to dealing with different diets. When [name] went to hospital, they sent them with a pack-up – incredible”. “Where people were at risk of malnutrition, they were offered fortified meals and snacks and had their weights monitored. People who required increased fluids were closely monitored, and water dispensers were in place, to encourage people to drink.

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. Staff were passionate about improving outcomes for people. A staff member said, “People are well cared for, our activity program is fantastic. We have 'everybody matters' meetings, we discuss anything which needs changing and raise suggestions and this is done. For example, we asked for Christmas presents for people and this is now done.” People told us they felt listened to and could raise suggestions. People were involved in regular meetings, where discussions were held about how they wished to spend their time and any changes they wished to happen. For example, following a suggestion of a themed evening, this was provided, and people and their relatives were involved in a curry themed evening. A relative said, “I want to say how much the home do. It was [Name’s] 80th birthday, they prepared a massive buffet and party for the family. There was also a cake, balloons and flowers. They didn’t charge us and the family really enjoyed the occasion. They celebrate Christmas, Easter, hold cocktail parties in the garden, afternoon teas in the Tea shop, which is fantastic, and provide a range of entertainment and activities. They go the extra mile with decorations as well. It’s a wonderful home.”

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. Staff were trained and worked in line with the Mental Capacity Act (MCA) and told us how they gained consent from people about their day-to-day care. People had consented to their care and support, including having their photographs taken. Where people lacked capacity, this was assessed and where required appropriate Deprivation of Liberty (DoLS) authorisations were in place.