Montagu Hall 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 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’s care plans were detailed and person-centred. Care needs were assessed appropriately and care was delivered in line with people’s care plans. A member of staff told us, “Each member of staff has personal log-in details to access the care planning system. There is a guide in the staff room which includes all the appropriate information to be able to use the care planning system. During our induction we were introduced to the system and how it works. When shadowing before starting my first set of independent shifts, other employees taught me how to use the app in more of an in-depth way and monitored my use of the app.”

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 had conversations with members of staff which enabled the development of care and support plans which were tailored to people’s individual needs. People confirmed they made decisions about their personal care and support. One person told us, “I have a shower whenever I want one and if I want help, [member of staff] come and scrub my back.” Another person told us, “I can have a bath when I want. There is a bathroom with a chair lift and [member of staff] takes me there.” Members of staff told us about how they listen to people about their care needs and preferences, “I encourage people and families to share their preferences, routines, and goals. This helps create a care plan which reflects their individual needs and choices.” Another member of staff said, “I involve people directly in discussions and respect their preferences about who is involved (like family or advocates) in the conversations. I provide clear and accessible information about the process.”

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. There was a good system of handover meetings and updates between shifts of staff where key information and updates about people was shared. Key learning, information and updates about the home were discussed at team meetings. The meetings were followed up with detailed notes which were shared with members of staff.

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 registered with a local GP practice, and they had access to health and care services. People’s voice was a key driver in influencing the development and running of the care home. This included direct engagement and feedback about cooking and meal preparation to ensure people lived healthier lives and made choices about food, drinks and snacks.

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured outcomes were positive and consistent, and met both clinical expectations and the expectations of people themselves. Key aspects of people’s health and care were regularly monitored and reviewed. For example, people were weighed every month and weight loss and gain were tracked and monitored. Where action was required in relation to changes in weight, referrals were made to specialist services and professional advice and guidance was followed.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. People were asked to give their consent to care and support. Members of staff had a good understanding of the Mental Capacity Act 2005 and how capacity should be assessed and best interest decisions recorded. A member of staff told us, “I would involve the person or their family when writing the care plan, ensuring their needs and wishes are recorded and carried out. I would always gain consent to any required care, before completing it, and respect their wishes throughout. This enables them to remain as independent as possible.”