Fennell 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 as 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.
 

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.
A comprehensive needs assessment was in place, and we saw evidence of family’s involvement. People were involved in their reviews in different ways reflecting their personal wishes and needs.
Staff knew people well and were able to explain how they supported them in line with their assessed needs. This meant people received care that was responsive to changes in their needs and circumstances.
The registered manager told us one person at the home had come from a service that had impacted on the person and they had become “institutionalised”. This person is now able to access the community and go shopping with supervision from a distance, supporting the person to become more independent whilst maintaining their safety.
 

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 was planned and delivered by staff who knew people extremely well and who involved them in daily decisions around their support needs.
During our inspection, we observed staff engaging with people in communal areas. Staff offered reassurance and encouragement to take part in activities. Staff demonstrated an understanding of people’s preferences and supported them in ways that promoted comfort and wellbeing.
People were engaged in cooking and preparing meals together every day with staff. Staff developed menu plans with individuals which included pictures of food choices and where able people were involved in preparing their own meals.
Nutritional needs were met including food that was Halal for people with different cultural needs.
Relatives told us, “I see them trying to encourage [Person] to try different foods,” and “Staff ask [Person] what they want to eat.”
 

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 worked together effectively to support consistent care. They shared information through daily handovers, regular meetings and discussions with managers and senior staff. A member of staff told us, "I don’t worry about things as the team is good."
People’s information was accurate and available for sharing with professionals and other services when required.
 

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 to access healthcare when this was needed. Staff identified changes in people’s health and took appropriate action, including seeking advice from doctors, nurses and other healthcare professionals.
Annual health reviews were completed, and people were encouraged to eat healthier.
Relatives told us, “They’re good at getting GPs in,” and "They take [Person] to routine appointments."

Activities were individual to each person and included walks in the park for some people.
People’s choice and preferences were consistently respected by staff when providing care.
 

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.
Systems and processes were in place to effectively monitor people’s care and treatment. The registered manager maintained robust oversight of people’s health monitoring to support improved outcomes and referred to health professionals when needed, for example dietician and speech and language therapist.
Relatives gave examples of staff taking action when people’s needs changed. Relatives told us, "If staff sees something [Person] needs, they will message me," and “They have requested a wheelchair for [Person], which will help [Person] go out more."
 

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment.
Staff had received training and understood mental capacity and the importance of people being able to make choices and being supported to make those choices.
We saw staff consistently seek consent during our visit. Staff spoke politely to people, asked before entering people’s space, and checked people were calm and happy.
Staff involved people in their care encouraged them to make decisions, for example we observed staff asking people “What would you like to do today?," "Are you cold?," "Would you like me to shut the door?" and "Is coffee alright for you?, is there enough milk?."