Tadworth Grove 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. People told us they were involved in initial and on-going assessments. Records were person centred and reflected what was important to the person.

The registered manager told us they ensured each person was assessed before they moved into the home. They said, “If some of them live at home, [Deputy manager] would meet with them face to face to get all the information we need. If it is an emergency admission, we get as much information from people and professionals to see if we can meet their needs.”

Initial assessments were comprehensive and clear covering all aspects of the person and the care they required. Care plans were developed from the initial assessment.

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 good practice.

People’s nutritional needs were assessed and met. People told us they liked the food on offer. Their comments included, “The food is very good. There is a choice. Plenty of drinks too”, “I love the food. I really enjoy the mandarins”, “The food is OK. There’s always a choice. If there isn’t anything I fancy I know they will make an omelette, or they’ll do a special sandwich” and “They’re always feeding us here. I eat mainly mashed potato now. You could easily become very fat if you wanted to.” A relative added, “[Family member] doesn’t complain about the food so I’m guessing it is OK. [They were] living on ready meals before so this is much better, and [they] look well too. We’ve been here when they’ve given us tea and cake, and that has been good.”

There were menus on the tables. Each person was asked the night before what they wished to eat the following day. We reviewed records that showed a good choice of meals. The chef explained, “People can have what they want, it’s person centred.” They told us the coffee machine in the kitchenette area was installed following feedback from the people’s survey.

The home worked with the speech and language therapy team to ensure people’s dietary requirements were sought and met.

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 they enjoyed working at the home, there was a very good culture and supportive teamwork. Their comments included, “I love it here. I have a strong passion for care and I’m the engagement champion, it’s a nice place to be”, “Good communication and the team works well together”, “The culture is to make residents the centre of care” and, “Staff respect each other. We are encouraged to be open and self-critical.”

People told us staff worked well together and communicated with them well to meet their needs. One person said, “The carers are respectful and professional” and, “On the whole the carers are good. They are like friends."

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 they were supported to access a range of health care professionals. Their comments included, “There is a doctor who visits weekly” and “The chiropodist was here recently. I haven’t seen a dentist here – haven’t needed to.” A relative added, “The dentist has visited the home. [Family member] does have hospital appointments and they take [them], which is a great help for me.”

Care records contained detailed information about people’s health conditions and how these might affect people. There were regular visits from health care professionals including the GP, chiropodist and tissue viability nurse.

External professionals said the staff and registered manager worked very closely with them and communication was good. A healthcare professional told us, “I am confident in my feeling that the residents are safe and well cared for. The staff appear kind and attentive and have the skills to meet the needs of the residents. The nurses are prompt in contacting me regarding any updates or concerns and we have a good working relationship.

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.

There was evidence of regular reviews and action being taken immediately following any changes to people’s health needs. The service worked closely with healthcare professionals who knew people well and followed their advice to help meet people’s changing needs. A healthcare professional told us, “We work closely together to ensure people and their families are always involved in their care."

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

People told us they were consulted by staff in all aspects of their daily care, and their choices were respected.

The provider was meeting the requirements of the Mental Capacity Act 2005 (MCA). People told us staff asked for their consent and involved them in decisions about their care and support. They said their choices were respected.

The staff were knowledgeable around the principles of the MCA. They were able to give example in relation to this. They told us they always sought consent before supporting people.