Euxton Park 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 service. This key question has been rated good.

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 used an electronic system to support needs assessments. This meant that staff could easily see people’s needs on handheld devices, and record people’s daily care notes in a timely manner. There was a robust pre-admission assessment completed to assess people’s needs and to check needs could be met prior to admission. People and relatives all said that they had been involved in their care planning prior to admission to the home.

Most people had their risk assessments and care plans reviewed monthly to ensure that these were up to date. However, we found that some risk assessments had not been actively reviewed following incidents, meaning people could have been at risk. This was discussed with the provider during assessment and risk reviews were updated accordingly.

Staff recorded person-centred notes about people’s day, health and wellbeing, which supported handover of information and care reviews. Relatives and people were involved in reviewing care plans if they wished to be. People said that staff were knowledgeable about their 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 ensured that best practice guidelines were shared and had recently shared guidelines around diabetic care with all staff members in response to an incident.

National assessments tools were in use, for example to consider if people were at nutritional risk, and to assess their overall level of support need. Staff were aware of signs and symptoms associated with complex health concerns such a diabetes.

Staff had recently updated training on do not attempt cardiopulmonary resuscitation to aid their understanding and provide important updates. This showed that the provider was committed to staff training and ensuring that this learning was up to date.

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 worked well together and had regular handovers and team meetings. A staff member was asked about the team culture and said, “we all pull together to get things done”.

Group supervisions and individual supervisions took place when there had been any incidents that required discussion. This ensured that all staff were aware of any new ways of working or any important lessons learned.

Staff made referrals to external agencies. There was clear recording of any health care professional’s involvement in people’s records. Relatives said that staff kept them up to date with any changes or issues and were regularly contacted. Regular face to face meetings were held with the allocated GP surgery this showed problem solving discussions taking place and engagement with other 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.

People were supported to maintain and improve their health and wellbeing through access to appropriate healthcare services and person-centred support. Records showed that people were supported to access healthcare professionals when required, including attending appointments with audiologists for hearing checks to help monitor and address any hearing needs.

People were encouraged to maintain their independence wherever possible. Staff supported individuals to use their mobility equipment appropriately, enabling them to move around safely while promoting independence and confidence in their daily lives.

Oral health care plans were in place and provided guidance for staff on supporting people with their oral hygiene needs. This helped to ensure that people's oral health was monitored and maintained in line with their individual requirements.

People had access to an outdoor space which they could use for relaxation and recreation. Access to this environment supported people's mental wellbeing by providing opportunities to spend time outdoors and enjoy fresh air and social interaction.

A range of activities was available to support people's social wellbeing and engagement. People were observed participating in activities, including bingo sessions, which encouraged social interaction, enjoyment, and meaningful engagement.

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 systems in place for monitoring care quality, including audits for medication, infection control and falls analysis. Lessons from incidents were shared with staff, and safeguarding logs showed appropriate action was taken.

Staff maintained records such as food and fluid charts to monitor changing needs. This meant action could be taken to maintain or improve people’s health. When reviews indicated that people needed equipment to improve outcomes, such as, pressure relieving mattresses, this was put in place.

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

Staff completed training in Metal Capacity Act 2005 [MCA] and understood the principles of consent. There were MCA assessments and consent forms in people’s electronic records and evidence of these being reviewed. People who had been deemed to lack capacity to consent had a lasting power of attorney [LPA] documented or advocate in their care plans and consent to treatment and changes to care plans were discussed with the LPA.

Staff were observed asking people for their consent before providing care. Staff were knowledgeable about the need for gaining and documenting consent in notes and why this was important.