Swan Care Home

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• 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.

This is the first assessment for this newly registered service. This key question has been rated good.

This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

We have not awarded this service a score for Effective.

Find out about when we will not publish a key question score and what we look at when we assess Effective.

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 had their needs assessed by the provider prior to them using the service and included details of people’s life history and support needs. People’s care plans were detailed and person-centred including describing people’s views, preferences and daily activities. Care plans and risk assessments were regularly reviewed with people and their relatives. These were updated when people’s needs changed.

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.

Care plans clearly documented people’s support needs and what that persons desired outcomes were for each care plan. Where there were concerns, appropriate risk assessments were completed to assess and monitor people’s needs. Throughout our observations, it was evident that staff had a good understanding of people’s needs. Staff members were meaningfully engaging with supporting people through activity, conversation or supporting them when needed, ensuring that people felt supported and valued.

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 provider had developed systems and processes which shared information within the staff team effectively. Staff began their shift with a handover from the previous shift, which ensured they were up to date about any concerns, appointments, or changes in people’s care. Indicating effective communication and information sharing between staff teams. Staff said “Communication is a lot better now. There is good team work now, every works together.”

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 were supported with their individual health needs and this included ensuring people accessed different health appointments when required. Information in care plans was clear about what signs and symptoms of a health condition was and what actions staff should take if there were concerns. Care plans documented how staff should proactively support people with their health conditions.

The provider consistently monitored the quality of people’s care and treatment. They made sure outcomes remained positive, and aligned what people said mattered to them.

Staff monitored people’s health and wellbeing throughout the day and used this information to monitor people’s health and wellbeing. Because staff knew people well, they could quickly identify any changes in their health or emotional well-being. Staff routinely checked and recorded key indicators such as weight, mobility, skin integrity, and bowel health to ensure needs were met and risks were managed.

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

Staff understood the principles of the Mental Capacity Act (MCA) and respected people’s rights when supporting them with decisions about their care. We observed staff seeking consent before providing support and responding to people in a considerate and respectful manner, which people reacted positively to. Staff understood their role in gaining consent and said, “I explain to them what I am going to do and if that is okay.”

Where individuals lacked capacity, documentation showed how staff made decisions in the person’s best interests and followed the required processes. There was consent to care documents signed by people who had capacity and their wants and wishes documented in their care plan.