Bere Grove 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. 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.

People and relatives were positive about the effectiveness of people’s care. For example, 1 person told us, “Staff do what they can to check with me if I am ok and whether I need anything. The staff are pretty good and my needs are met.”

Care plans included people’s health, wellbeing and communication needs. Although people and relatives could not recall seeing people’s care plans, they told us they were always listened to and involved when people’s needs changed. Care plans demonstrated regular assessment of people’s needs were undertaken, they were up to date and reflective of people’s current needs.

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.

The provider had systems to ensure leaders and staff were kept up to date with good practice, legislation and guidance. Training and conferences took place, and newsletters were distributed to staff.

Staff used a range of nationally recognised tools to assess and monitor people's needs, related to risks such as choking, weight loss, and pressure areas.

People were given a choice of nutritious meals which we saw they enjoyed. Staff were observed to support people who required assistance to eat, in a patient and considerate way. Where people had swallowing difficulties, appropriate assessments and advice were sought, and this information was incorporated into their care records. Where people were at risk of losing weight, action was taken to reduce this risk. A relative told us, “Mum is well looked after and she is eating better and being well supported by staff here.“

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 told us they were a good team and supported each other. For example, 1 staff member said, “I think we all get on really well, it’s a really nice place to work. We all work well as a team and pull together when we need to. There’s a whole home approach.”

Effective handover processes ensured staff began each shift with up-to-date information about people’s needs and wellbeing.

Professionals external to the service told us staff worked well with them to ensure good outcomes for people. For example, a professional said, “I appreciate the way the team work collaboratively with community 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 needs for care and support.

Staff supported people to make healthy decisions about their care while respecting their individual wishes and preferences. People were supported to access health services when required. One person told us, “I get the help I need with my health and I can see the doctor when I need to.” Deterioration in people’s health was appropriately escalated, with timely referrals to support people with their needs.

Health care partners provided positive feedback about how the service worked with them to support people’s health needs. One health professional told us, “My clients in the home need regular help with exercise programmes or regular repositioning and the team are always very keen to follow through with my requests”.

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.

The provider had effective processes to ensure people’s care and support were continuously monitored and reviewed to promote good outcomes. They were in the process of improving fluid monitoring as outlined in the Safe domain of the report. People received individualised care that was flexible and responsive to their needs. Care plans were informative and described people’s strengths alongside the support required from staff and other services. Staff were able to identify any changes in people’s needs and acted promptly to support people effectively. The provider had an electronic care planning system, and this enabled leaders to review people’s outcomes and take action where improvement was needed.

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

We observed staff consistently asking for consent before providing any care or support. People told us their choices were respected and they were supported to make decisions about their daily lives.

Staff had a good understanding of consent and the Mental Capacity Act which is a legal framework for making particular decisions on behalf of people who may lack the mental capacity to do so for themselves. For example, 1 staff member told us, “You can’t assume that someone doesn’t have capacity. We do have people that lack capacity and there’s a document in place to protect those people”.

Where people lacked capacity to make specific decisions, capacity assessments had been appropriately completed and best-interest decisions made in consultation with those involved in the person’s care.