Addison Court

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.

The provider was previously in breach of legal regulation in relation to care records. Improvements were found at this assessment and the provider was no longer in breach of regulation.

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. Assessments took account of people’s support choices and needs to ensure they received effective care. A relative told us how people were, “safe and well cared for” at the service.

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 best practice standards. People and their relatives spoke positively about the care people received, including with eating and drinking. They told us this was based on their own feedback and decisions. For example, one relative told us they had made suggestions about the menu and that these had been quickly acted on. Guidance from external professionals on any specialist diets needed was acted on.

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. Information and guidance from other services was clearly recorded in people’s care records. One external professional told us, “It is a good home.”

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 worked effectively with a range of external professionals to protect and promote people’s health and wellbeing. A relative told us, “[Named person] had pressure sores, but these were sorted out and she no longer has the problem.”

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. People were involved in reviews of their care to ensure it continued to meet their needs. One person said, “The staff know what they are doing and that's very important.” We saw several examples of staff working very effectively with people to improve their wellbeing and quality of life. For example, in one case staff had worked intensively with a person and external professionals to improve the person’s mobility. This had significantly reduced their risk of falls and had led them to develop new interests now that they could move around more easily.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. The Mental Capacity Act 2005 (MCA) provides a legal framework for making particular decisions on behalf of people who may lack the mental capacity to do so for themselves. The MCA requires that, as far as possible, people make their own decisions and are helped to do so when needed. When they lack mental capacity to take particular decisions, any made on their behalf must be in their best interests and as least restrictive as possible. People can only be deprived of their liberty to receive care and treatment when this is in their best interests and legally authorised under the Mental Capacity Act (MCA). In care homes, and some hospitals, this is usually through MCA application procedures called the Deprivation of Liberty Safeguards (DoLS). The provider was meeting the requirements of the MCA. Authorisations for people being deprived of their liberty had been approved where appropriate. Where people could not make decisions for themselves, best interest’s decisions were made in consultation with relatives and others of importance to people.