Housing 21 - Holm 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.

The registered manager told us people’s needs were assessed prior to starting to use the service, and these were used to inform care plans and risk assessments. The assessments were undertaken with input from the person and their representatives, where appropriate. This was confirmed in records. A relative said, “[Family member] had attended some day care sessions at Holm Court before moving in full time… The staff were very caring and helpful to [family member].” The registered manager told us they understood it could be overwhelming for a person to move from their previous homes, and the inclusion in the day services, if people chose to attend, gave them the opportunity to become familiar with their new surroundings.

People and relatives told us they felt they had been consulted about the care received and we saw records of reviews where people were asked for their input. Records showed reviews were undertaken with the person using the service and their relative, where appropriate, to ensure their care plans reflected their current needs. Where changes were identified or requested, this was incorporated into the plans and risk assessments.

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 and their representatives, where appropriate, were involved in the planning of their care, this was evident in care reviews and the registered manager’s monitoring systems.

Where people required support with their nutrition and hydration, this was documented and provided in line with their needs and preferences. This included any support or guidance provided by external professionals such as Speech and Language Therapy Team (SALT). Daily notes which identified the support provided to people at each care visit, supported the management team to monitor that people were receiving the care they needed and preferred.

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 registered manager and assistant care managers (ACMs) told us they had good working relationships with other professionals involved in people’s care, such as commissioners, district nursing team and occupational therapists. The service made referrals as required to other professionals, such as to the district nursing team, if people were not able to do this themselves, they did so with people’s consent.

The registered manager told us the management and care team worked well together. This was confirmed by feedback received from staff.

Important information about people was shared with other professionals, if for example, people required hospital admission to help ensure continuity of care and support.

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 told us if they needed support to access health care professionals to support healthier lifestyles, if they could not do this independently, support was provided by staff. This included support and guidance relating to nutrition and hydration and mobility.

A staff member told us, “I feel all [people] have adequate care plans and all seem happy with the care they receive. If there are any concerns over safety about mobility needs the ACMs [assistant care managers] are very efficient in seeking assistance from the OT team and ensuring [people] and staff are operating safely.”

The registered manager told us how the lessons for this month were targeted on supporting people with their oral care. We saw people’s daily care notes demonstrated this support was provided, when identified as a need in their care plans.

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.

The service had systems in place to monitor the service people received. This included audits of care plans, care reviews and spot checks on staff. During spot checks people were asked for their views about the staff member who had supported them and this was fed back during their supervision sessions, including if areas for improvement were noted or additional training needs and also positive feedback received. People were asked for their views in the care they received, and their comments used to improve outcomes, this included discussions and decisions on their planned goals and achievements.

Feedback from people using the service and their relatives, where appropriate, was sought and used to monitor the care provided.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment.

People’s capacity to make their own decisions was assessed and documented. People had signed documents to show they consented to the care they received. Where people required support to consent and make decisions and a Lasting Power of Attorney (LPA) was in place, consent had been given by them. The service had requested documentation from the LPA to ensure they were authorised to consent and make decisions on people’s behalf. Any best interest decisions were documented, where required.

Throughout people’s care plans, how staff should gain people’s consent when providing support was referred to.

Staff had received training in the Mental Capacity Act 2005 and also undertaken knowledge checks.