Divine Care Centre

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 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 did not always make sure people’s care and treatment were effective because they did not always check and discuss people’s health, care, wellbeing and communication needs with them.

The registered manager had begun an extensive audit and review of people’s care plans. Some had been recently updated and were of a good standard, however this work was still ongoing and at the time of our assessment not all care plans fully or accurately reflected people’s assessed needs.

The management team completed initial assessments with people before they moved into the service. Changes in people’s needs were reported and discussed in daily flash meetings and at staff handover. People’s care and support needs were also reviewed as part of a ‘resident of the day’ scheme in the home. People and their relatives told us they were involved in the care planning process. One relative said, “We were included in the care plan..."

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 relatives were involved in the care planning process. Information was available if people required the support of an advocate when discussing care needs. Staff knew people well and a handover took place at the start of each shift to ensure any concerns were monitored. We observed staff working well as a team during the assessment. Health and social care professionals confirmed staff worked well with them. One professional told us, “They have good knowledge of [people] and the care plans we set. They actively engage with us and follow advice.”

People were well supported at mealtimes with most people eating together in a calm and pleasant dining room. Staff were aware of the people who required a modified diet and supported them accordingly. One person told us, “The food is really good here.” However, care records did not always accurately or fully reflect people’s dietary needs.

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. A professional told us, “Nursing staff have always been very thorough and quick to act on any concern.”

Handover documentation had recently been improved and the handover process streamlined as there had previously been an incident that was not properly recorded. These changes ensured staff coming on to a shift were aware of people’s current needs to minimise risk.

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 sought medical support from healthcare professionals when required. The service liaised with different external professionals such as occupational therapists, speech and language therapists, community nurses and GP surgeries. A professional told us, “The staff are friendly, approachable, and we have developed a good working relationship with them. They work collaboratively with [us] and are generally willing to seek advice and guidance when required.”

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 were effective processes in place to monitor outcomes for people in areas such as weight loss, pressure damage to skin and people’s mental wellbeing. A relative told us, “The care is very good. My loved one was far too thin, but they have gained weight since being here. They have monitored this by weighing them weekly and they keep me in the picture.”

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

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. Information was available to people if they required the support of an advocate to assist when discussing their care needs.

Mental Capacity Assessments (MCAs) and Best Interest Decisions (BIDs) were recorded for people who had been deemed not to have capacity for specific decisions. Staff had received MCA training and demonstrated their understanding. One staff member said, “Staff take time to listen to residents and support them in making decisions about their care, activities, and daily living.” Staff were observed knocking on doors and asking people discreetly if they could assist them with care tasks.