Cheverells 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 good.

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

This service scored 67 (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 and their relatives told us they were involved with planning their or their family members’ care. People and their relatives we spoke with felt they could talk about their or their family members’ care needs and had the support of staff. One relative told us, “The staff know my family member well and all of their ‘quirks’. The staff change their incontinence pad regularly.”
People and their relatives were confident their family members’ needs were understood by the staff team. One person told us, “We had a little issue. They would give me the medicine before breakfast, but it didn’t go down too well. When I asked if the medicine was available as a tablet instead, [name] did some research and came back to me and said it was available as a tablet and it was ordered.”

The provider did not always plan and deliver people’s care and treatment with them, including what was important and mattered to them.

People and relatives felt engaged in planning their or their family members’ care. We saw care plan reviews had involved the person and their relatives, if appropriate. Relatives told us, they were involved with care planning and were kept updated on any issues. One person said, “Luckily, I can manage most things by myself and have a shower when I want.”

Staff kept records on how they had supported people and at what time. However, there were inconsistencies in these daily records, for example, records were not always fully completed to confirm the care staff had given, such as oral health care records.

The service had a range of visual displays, with pictures and photographs of the local area and the county of Devon. These enabled staff and people to have meaningful conversations and reminisce about their life histories.

People’s communication needs were clearly recorded, to enable staff to effectively communicate with people. For example, care plans for people who had specific communication requirements were detailed and personalised. Information for staff to support a person’s spiritual beliefs was included within care plans.

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 responsible for supporting people, told us important updates were shared about people’s needs, so the team were always up to date. One staff member told us about the district nurse support they received in providing good catheter care to people.

Relatives were complimentary about staff involving them in their family member’s care and any healthcare appointments. One relative told us, “Staff always let us know if [name] needs a hospital appointment and ask if we want to come. They will always discuss if there are any issues. For example, she needs a procedure which [name] declined, but staff spoke to me about it, and I was able to encourage [name]."

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 encouraged people with healthcare appointments. One person told us, “[name of staff member] takes me to the doctor.” Staff gave us examples of how they promoted people’s health through supporting them to dentist appointments, health checks and medicine reviews.

The registered manager understood the importance of working closely with healthcare professionals in order to achieve the best outcomes for people to live healthier lives.

Staff had a good knowledge of people’s preferences and dislikes regarding food. There was a strong emphasis on involving people with menu reviews and choices.

People were positive about the food. One person said, “The food is very, very good. They do some wonderful homecooked meals. You can have an alternative from the menu if you like.” People were supported to maintain a healthy balanced diet. A family member told us, "[Name] is quite impressed with the food and menus and if they do not like something then they can have an alternative”.

The provider did not always routinely monitor people’s care and treatment to continuously improve it. They did not always ensure outcomes were positive and consistent, or that they met both clinical expectations and the expectations of people themselves.

The service was adequately monitoring standard measures for people. For example, weight and food and fluid intake as necessary for each person. However, there were inconsistencies in some daily records, such as oral health care records.

People and relatives told us staff supported them well and some gave examples of improvements they had made since moving into the service. A relative told us, “[Person’s name] has put on weight since [they have] lived here which was a good thing as [person’s name] wasn’t always eating well. [Person’s name] is weighed regularly.” Another relative told us, “[Person’s name] could not walk at last home and here [Person’s name] walks with [their] Zimmer.” Staff proudly encouraged people to maintain their independence and nutrition and supported them to achieve good outcomes in relation to this.

Staff were aware of any people who required particular aspects of their care to be monitored and supported to improve their overall health, well-being or experience.

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

Records showed decisions around people's care had been made and/or agreed, with people, or their legal representatives.

People’s wishes were respected. A family member told us, “[Name] can do what they want to do.” Staff encouraged people to make their own decisions. Care plans showed evidence consent to care had been obtained.

Managers had assessed people’s mental capacity to make different decisions. When people lacked capacity, the provider liaised with their families and other professionals to help make decisions in their best interests.

One relative told us, “Yes, they do respect [name] privacy. The staff knock on the door before they come in.”