Trewartha Residential and Nursing 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.

Senior staff completed assessments of people’s needs before they were offered a place in the service. Assessments included details of people’s health, mobility and social needs and identified any risks that people needed support to manage. These assessments included the person and people that were important to them.

People’s care needs were assessed regularly by the management team and senior staff. They involved people, where possible, and their next of kin. People told us they were informed of any changes, one person stated, “They pick up things straight away, I am informed, and the GP is requested.”

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.

Care plans were updated regularly and directed staff to meet people’s needs. Daily records mostly described the care and support people received and how the person had spent their day.

People’s nutritional and hydration needs were assessed and planned for. Care plans were detailed and contained information on people’s food and drink preferences. Following professional advice, people received food that was of the correct consistency. This information was clearly recorded and known to staff.

Drinks were available in communal areas and in people’s bedrooms throughout the day. Baskets containing snacks, such as chocolate bars and biscuits were placed in the lounge and people were observed helping themselves. People told us the food was “excellent”, and people were able to choose what they had for lunch.

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.

The management and staff teams worked jointly with other services and professionals to ensure people received effective and timely care. There were good relationships between the service and external professionals, such as district nurses and dementia specialists.

Professionals told us the service was “Really good” and “Follow our guidance.”

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.

Care records showed a range of health care professionals were involved in people’s care and treatment, and staff made appropriate and timely referrals to support people to stay healthy. Staff followed the recommendations of professionals, who confirmed staff worked closely with them to ensure people’s health and medical needs were met.

The activities provided encouraged people to move around. A music session was observed, and we saw some people were engaged and exercising. The registered manager explained 1 person wanted to lose weight. The service supported the person to attend a weight loss service and offered encouragement. This resulted in the person losing weight and had a positive impact on their health and wellbeing.

The provider monitored all people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they fully met both clinical expectations and the expectations of people themselves.

Regular care plan reviews enabled staff to have full oversight of the health and social care needs of all people; and reviews led to changes in people’s care and to positive outcomes. People and their relatives met with staff regularly to discuss their care needs. One relative told us they were able to meet with staff virtually and had a “monthly online update” when they could not attend the service.

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

During the assessment people made their own choices and decisions about what they did, what they ate and how they filled their time. Our observations confirmed staff respected people’s choices and decisions.

All care was provided in the least restrictive way. People could walk around the home and choose where they wanted to sit. All the people we spoke with told us they were offered choices. One person explained they felt “Very lucky to be in the service.”