The Grove Care Centre - Thurnscoe

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 moved into the service, to check the service was suitable for them. A detailed care plan was then written for each person which guided staff in how to care for them. People and their relatives were involved in this process and were asked to provide important information about their preferences and life history. Staff demonstrated good knowledge of individuals and involved professionals appropriately. One relative said, “Yes, I’m confident in them. I work with the GP practice that goes into the home so a recommendation by the GP helped me to make my decision.”
 

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.

Nationally recognised risk assessments for skin integrity and malnutrition were used consistently. When higher risk scores were identified, appropriate actions were implemented. For example, staff completed MUST (Malnutrition Universal Screening Tool) assessments to determine whether people were at risk of malnutrition. Where a risk was identified, referrals were made to dieticians via the GP. Similarly, people assessed as being at risk of pressure damage had suitable pressure‑relieving equipment put in place to support skin integrity.

People said they were satisfied with the food provided. One relative said, “My [family member] likes salmon and usually has that twice a week. The food is mixed as it depends on who’s cooking. I’ve tasted the food as my [family member] likes to share with me if I’m around at mealtimes. Teatime choices are very good. Cheese toasties, sandwiches and cakes. Lots of choice which they enjoy.”

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 staff worked well with health and social care professionals. There were various professional involved with the service such as speech and language therapists, occupational therapists and community matrons. People’s physical and emotional needs were well documented and clear records of professional input and outcomes were recorded.

Feedback from partners evidenced the service worked well with them. For example, one visiting professional had commented, “The service is well organised, referrals are always appropriate and care is always personalised.”

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.

Staff worked closely with other organisations to deliver effective care and support to people. The registered manager regularly sought advice from community health professionals such as the GP, district nurses and the community falls team. Weight monitoring was routinely completed, with referrals to dietitians and involvement from speech and language therapy (SALT) where required. Clear action plans were in place for managing weight loss. People were supported to make meal choices, and staff promoted mobility whenever appropriate. This process supported staff to achieve good outcomes for people and to help maintain their health.

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. One relative described the care as, ‘the best thing they have ever done for their relative.’ They said [family member] is well looked after, kept clean, bathed and shaved, and is now eating regularly.”

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

People were supported to make their own decisions about their care and support wherever possible. The provider was working in line with the Mental Capacity Act 2005. The service was skilled in how it obtained people's consent for care and treatment, adapting their approach to suit individuals needs and involving them in related decisions and assessing capacity when needed. Records showed us where assessments demonstrated a person was unable to make a specific decision capacity assessments were completed and best interest decisions had been made with the involvement of the person, family and appropriate health or care professionals.