Seathorne Court Residential 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 requires improvement. At this assessment the rating has changed to good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 71 (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 told us their care needs and preferences were assessed and reviewed. A person told us, “Staff come and do the review and discuss everything. They make sure the care is how I want it.” However, the information transferred across into care plans was not always detailed enough to ensure best practice would be met. The provider acted quickly and has begun to review all care plans to ensure all information is captured.

The provider planned and delivered people’s care and treatment with them, including what was important to them. They did this in line with legislation and current evidence based practice. Professionals spoke positively of how staff evidenced outcomes and worked with them to ensure people received the correct treatment plans. A professional told us, “There is good communication. Staff give clear information, will provide monitoring charts, complete assessments for people and follow instructions regarding advice/medication changes monitoring. Care plans are always made available to our team.”

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. People and relatives told us they were happy with how staff worked with others to support them to access local facilities and services. A person told us, “Staff are very good when I am not well, they go get the doctor and the ambulance.” A relative told us, “My [family member] goes for a haircut. They go to church and access the chiropodist. They also have the district nurse come in to take care of them too.”

Professionals told us the staff team were quick and efficient, helpful and open to suggestions. A professional told us, “The registered manager is very knowledgeable regarding mental health, the deputy manager is very good with physical healthcare needs. They make a good team and care staff are always welcome and friendly.” Another professional said, “I have no complaints, always find the staff really helpful. Hygiene is good and it is well managed, they care about people.”

The provider always supported people to manage their health and wellbeing to fully 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 had been supported to reduce their alcohol intake and told us how the good food and care had helped improve their health and wellbeing. A person said, “The food is great, we have plenty of it, the choice and quality are excellent.” A relative told us, “My [family member] has thrived here, had to go back to the consultants as they have improved their weight from being underweight since being here.” Another relative said, “When my [family member] came out of hospital they couldn’t walk because they had been in bed so long. The next day when we came to visit, they were out of bed and walking. The staff worked with the occupational therapist and the district nurse who came in and that was arranged by the care staff.”

The provider monitored the outcomes of people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they fully met both clinical expectations and the expectations of people themselves. People and relatives told us of the impact being able to do things for themselves again had on their lives. A person had asked to come back to be supported again to re-learn to walk as they said it had worked so well but due to another hospital stay had deteriorated again living at home.

Professionals spoke highly of the outcomes for people and the way the provider and staff team strived for excellence. A professional said, “Staff are really good, I have no concerns. They are good at responding well to people living with dementia and understanding their needs change. As dementia progresses people can become quite sexual and some homes struggle to manage that. Here, if there are any changes we look at their physical health first and then at the charts to identify how to support them.” Another professional told us, “Staff liaise with us well, give feedback, it is a nice home. For example, 1 person who had lived in their own home was very agitated as they believed it would flood. The person would barrier their home with furniture on a daily basis. They live here now and are no longer agitated or worried about flooding. They have people around, have meals and drinks and the staff for support.”

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. For example, people who requested gender preferences for care, received this. A person told us, “I only have the female staff for personal care and they are good at always asking my permission for things.”

Where people were unable to consent to their own care, the provider had completed a mental capacity assessment and ensured decisions were in the person’s best interest. For example, professionals and relatives were included. A relative told us, “I have LPA but if anything goes wrong here the registered manager and deputy manager take the action. I am happy for them to have that responsibility but they always involve me.” Where required the provider had applied for a DoLS. However, the mental capacity assessments failed to evidence how people were involved or helped to try and understand the decision being discussed. Their views or responses were not recorded.