Little Sisters of the Poor - St Peters Residence

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 was effective by assessing and reviewing their health, care, wellbeing and communication needs with them. People’s needs were assessed before admission and on arrival to the service. People told us they had been included in the assessment of their care and support needs with support from their relative if they wanted. Comments included, “I was involved with a care plan and there is a yearly review. They look at what you can and can’t do and how much pain you’re in” and “The care-plan was fine. I did it with my sister present, so she was able to contribute.”

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.

Systems were in place to ensure information about people was shared appropriately with other services when needed. Staff worked well together and completed handovers to ensure all staff were updated on people’s care and health needs.

Staff told us and records confirmed staff received evidence-based training specific to the needs of people living at the service. One member of staff told us, “We get training on diabetes, pressure care, and dementia so we can look after residents properly.”

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.

People and relatives were confident staff worked well with external health and social care professionals to support people’s health and wellbeing. Comments included, “Recently, my [family member] was very ill and was bed bound. The team coordinated with outside agencies and made immediate changes, such as replacing my [family member’s] mattress to make them more comfortable and prevent bed sores.”

Staff described strong teamwork and clear communication. Daily meetings took place to ensure information was shared amongst the staff. There were also monthly heads of department meetings to identify and discuss key themes and trends. Clinical leads maintained close links with GPs, pharmacists and community services. One clinician who worked with the service told us, “Visits are working well. Staff are organised and are well prepared whenever I visit.”

Staff told us teamwork was positive and supportive. Comments included, “We meet regularly to talk about any problems or new ideas” and “We talk about care plans at handover, and everyone can share ideas.”

The provider supported people to manage their health and wellbeing to maximise their independence, choice and control. Feedback from people, relatives and professionals showed care was delivered by staff who understood people’s medical conditions and the day-to-day interventions needed to support their wellbeing.

People confirmed they were supported to access a range of clinicians including GPs, dentists, tissue viability nurses, dieticians and community mental health teams if needed. Comments included, “They have different doctors who visit weekly and they are all excellent” and “There is an optician who visits once a year. A minibus takes you to the dentist and I have hospital transport for hospital appointments.”

A physiotherapist also attended the service every week to see people on an individual basis if needed and they also ran falls prevention exercise classes. One person told us, “The physiotherapist changed the position of my bed. That has made a difference to negotiating my room.”

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.

Most people’s care plans were reviewed, up to date, and included details of how individuals wished to be supported. People and relatives told us they took part in the regular review and ongoing monitoring. One relative told us, “I was consulted when my [family member] moved into the home, and I am always consulted when reviewing her care plan.”

The provider made sure people’s care and treatment was effective by assessing and recording consent and following the Mental Capacity Act 2005 (MCA) and associated guidance.

Where people lacked capacity, care plans typically recorded who should be consulted in their best interests. People were supported to understand their rights they were empowered to make day-to-day decisions. Care plans demonstrated that the Mental Capacity Act (MCA) had been followed.

Staff received MCA training and showed a clear understanding of how to apply this to their role. One member of staff told us, “We learn about mental capacity, so we know how to support people’s choices.”