Carpenders Park

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 were effective by assessing and reviewing their health, care, wellbeing and communication needs with them. People’s needs were assessed by senior staff, who visited people in their own homes.

The assessment process considered people’s backgrounds, cultural needs and personal preferences. This helped staff understand each person’s life history, routines and what mattered to them. Care could be planned in a respectful, inclusive and meaningful way that promoted dignity, identity and wellbeing. Some people used the service for respite care before moving in permanently. People and their relatives said this had a positive impact, as it helped reduce anxiety and gave them time to decide whether the service was the right environment for them.

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 used recognised assessment tools and guidance to plan care, including for nutrition, mobility, skin integrity and risk management. Care plans were regularly reviewed to ensure people’s needs were met.

The service had a dementia champion in post. The dementia champion’s role was to promote best practice in dementia care, support staff to understand and apply specialist dementia training. This helped ensure people living with dementia received care that was personalised, consistent and responsive to their needs. The registered manager told us developing “champion” roles was an area the service was keen to progress.

The provider worked well across teams and services to support people. Feedback from people and their relatives confirmed staff supported people to access the healthcare they needed. Relatives told us they were informed about any changes in their family members’ health and wellbeing, and this was welcomed.

People benefited from a staff team that worked well together and with professionals external to the service. Professionals who supported people with their individual health and care needs said communication with staff was effective.

The provider made sure people had enough to eat and drink and could access food and drinks that met their individual preferences, cultural backgrounds and dietary requirements.

A dedicated catering team worked closely with people to ensure they could access the food they wanted. People and their relatives told us overall they were happy with the food and the different menu options available to them.

Staff and catering teams knew people's preferences and adapted meals where needed, including providing favourite foods. One relative told us, “[Person] is a fussy eater, and they have made requests and staff are more than happy to do what they wish,” and another said, “They will make something different if required.”

Relatives described a varied dining experience, with vegetarian options available and opportunities for relatives to share meals with people. Cultural and religious needs were considered, and care was adapted to meet people’s needs and wishes.

Relatives gave examples of how the service considered people’s cultural and religious dietary preferences. One relative said their family member’s religious dietary needs were discussed and, although specific meat options were not available, staff made sure suitable alternative meals were offered.

Another relative said their family member’s cultural food preferences had been recognised and the food had improved over time. The registered manager told us they were planning to review the menu with people in the coming months.

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.

Care plans were detailed and contained information on diagnosis, specific health needs and past medical history. Risk assessments were detailed and explained actions staff should take if a person’s health deteriorated.

Staff worked effectively with health professionals and kept relatives informed when people became unwell or their needs changed. Records and feedback showed monitoring led to improved outcomes. For example, staff recognised when a person’s health was deteriorating and sought medical advice promptly, helping to prevent further decline. Relatives valued being contacted promptly and kept updated about changes in people’s health and wellbeing.

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

People told us staff asked for their consent when they required support with personal care. Staff recognised the importance of people giving consent and supported people to make informed choices and respected these.

The Mental Capacity Act 2005 (MCA) provides a legal framework for making particular decisions on behalf of people who may lack the mental capacity to do so for themselves. The MCA requires that, as far as possible, people make their own decisions and are helped to do so when needed. When they lack mental capacity to take particular decisions, any made on their behalf must be in their best interests and as least restrictive as possible. Consent was recorded in people’s care plans and staff were knowledgeable about the MCA and were observed throughout the day asking people for consent.