Maryville Care Home

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 as 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.

People’s support needs were assessed as part of the preadmission process to ensure they could be met by the service. Staff understood how people’s needs were identified with a staff member explaining, “The care plan begins to form when the preassessment is done, usually by the registered manager. Once the resident comes in, then we continue to build and develop it, which the team leaders contribute to.” Care plans and risk assessments were regularly reviewed. Relatives confirmed they had been involved in reviews of their family member’s care plan. Staff explained how they raise any concerns about changes in people’s support needs. A staff member said, “Handovers inform us of any changes and what to lookout for during our shift. This could be if the person has a temperature, fall or had a bad night.”

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 but staff were not always provided with information on people’s medical conditions.

The deputy manager explained they discussed best practice in relation to care as part of team and supervision meetings. Staff completed a range of training with a staff member commenting, "Training is great here, and we get lots of chances to learn new things." People and relatives felt the staff had the appropriate training to provide safe care. Staff demonstrated a good understanding in relation to people’s specific support needs. Staff described people’s modified diets to reduce the risk of choking and how speech and language therapists had provided guidance on how to ensure people were supported safely when eating.

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 completed records of the care provided and discussed any issues or changes in support needs during handovers. This meant information was shared between staff to ensure people received appropriate care. The records were monitored through a monthly audit to ensure support provided reflected people’s care plans. Staff worked with external professionals. Records of appointments and changes in support were recorded.

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 confirmed they were supported to see a GP or other healthcare professionals when needed. People said, “If I am feeling unwell which is very rare, I just speak to the carers or the nurse here”, and “If there is anything I want or if I was ill, they would be there straightaway.” A relative told us, “The home has access to all healthcare professionals, and it is all done very efficiently. Whenever [family member] has needed to go to hospital, they have been very efficient in getting paramedics here, and [family member] moved into hospital. It has all been very smooth.” We observed staff supported people when attending hospital appointments. People were offered a varied menu to ensure their preferences were met. People’s food and fluid intake were recorded and their weight was monitored when required. The community nurse visited weekly, and GP contacted the home to update people’s medical information.

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.

Staff undertook regular checks to monitor each person’s health and wellbeing. These checks were recorded, reviewed by senior staff and actions identified for any issues raised. People and relatives were involved in the reviews of their care plans. People’s care plans identified the person’s care needs, their preferences about their support and how staff could ensure these were met.

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

The provider had a system to assess people’s ability to make informed decisions about their care. People were supported by staff to make decisions and choices about the support they received. People and relatives confirmed staff explained what they were doing to ensure the person was happy with the care they received. If a person was identified as being unable to make decisions, the provider ensured care was provided in the least restrictive manner possible and in their best interests. A staff member told us, “We get good guidance on mental capacity, so we know how to support residents' choices."