Croham Place

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.

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.

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.

The provider's needs assessment process ensured a person centred and holistic approach to assessing people's needs and effective outcomes were achieved.

People's relatives told us they were involved in their family member's care and with people’s care plan reviews. They said the way reviews were drawn up, helped their family members to achieve their maximum potential. One relative said, "They do invite me to [family member's] care reviews.” Another told us, “I always get an invite to the reviews and I can always talk to staff and the registered manager about their [family member’s] care and support."

Health and social care professionals said the process of assessment and support used in planning people's care was good. They told us," Staff are well trained and knowledgeable."

People's care plans included their life history, healthcare conditions, care needs, the support they required, likes and dislikes. The information was used to plan and deliver people’s care and support.

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 told us they were able to make choices about the food they received and they said they enjoyed their meals. Comments from people included, “The food is always good and I can choose something different from what’s on the menu if I want,” and “I enjoy the food here, it’s good”.

The chef was evidently knowledgeable regarding people’s nutrition needs and ensured people’s meals were person centred to their individual preferences and needs. They told us wherever possible they prepared fresh ingredients for the meals people received.

We observed lunchtime appeared to be calm with people having assistance with hand cleanliness. All available staff were present to assist with this so that food was served hot and in a timely manner.

Staff understood how to work with external health and social care providers to provide support in the most effective way.

People had enough to eat and drink to maintain their health and wellbeing. Effective processes were in place to make sure people’s views and preferences were sought and acknowledged in relation to their care. People’s needs, views and preferences were clearly reflected in their care plans. People’s nutrition and hydration needs were supported in line with current standards.

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.

Healthcare professionals we spoke with told us they worked well together with staff in the home. They reported staff had a good collaborative approach with them and together they were able to ensure people had the care they needed.

People and relatives spoke positively about staff. One person told us, “They [staff] are brilliant.” People told us their experienced good quality care from the staff team.

Senior staff told us they worked well with other health professionals and obtained any health advice when needed and ensured it was followed. We observed good communication between professionals.

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 need for care and support.

People and their relatives told us they [family members] were supported to live healthy lives and that the care and support they received was aimed at maximising their abilities but providing care and support where they needed it.

We saw people looked well cared for and happy. People and relatives told us they had no concerns with the support their family members received with healthcare. They said the home would contact a health professional if needed.

The provider had an activities staff member who was employed to plan and provide people with meaningful activities to ensure their hobbies and interests were maintained.

People’s needs were assessed to identify any concerns regarding their health and well-being. Staff knew people well and could explain how they supported people to live a healthy life and provide meaningful activities to help people’s well-being.

The service worked with healthcare services to meet people’s health needs including arranging and supporting people to attend health appointments.

The registered manager set out how they worked with healthcare professionals to meet people’s healthcare needs, including nurses, opticians, chiropody and GPs.

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 and their relatives were provided with opportunities to speak up about their care and support to ensure it was meeting their needs. Relatives of people told us they were part of their family members care planning. Care plans provided information for staff as to how to meet people’s needs with regards to agreed care plan objectives. People and relatives were positive about the care that was provided.

Managers told us they routinely checked people were satisfied with the service. People and their relatives were provided with feedback surveys where they could state their preferences and opinions on the care they received and on upcoming and past events/activities in and out of the home.

There was a process in place called resident of the day, this was when peoples care, and support needs were reviewed. The person was given an opportunity to discuss what was working and what needed to be improved. People felt their feedback was taken into account.

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

People were supported to understand their rights. People were provided with opportunities to discuss their views and wishes. People told us they felt they were included with decision making regarding their care and support.

Staff told us where people had the capacity to do so they were encouraged to make their own decisions and wherever possible this was done together with their relatives. Where people did not have capacity, they supported people in their best interests. Care plans demonstrated that the Mental Capacity Act had been followed, and where necessary, a mental capacity assessment had been completed. Staff had received training around the Mental Capacity Act 2005.

The Mental Capacity Act 2005 (MCA) provides a legal framework for making decisions on behalf of people who may lack the mental capacity to do so for themselves. The Act 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 make decisions, any made on their behalf must be in their best interests and as least restrictive as possible.