Deneholme Care Centre

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 67 (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 always made sure people’s care and treatment were effective, but they had not always assessed or reviewed their health, care, wellbeing and communication needs or records with them.

People and their relative’s confirmed care was good, but it was difficult to evidence this from records, as some records needed further information. This included updates to care plans, including bed settings for specialist mattresses and more detailed daily records. We have reflected this in the well led section. We brought this to the attention of the registered manager to address.

Where concerns about a person’s health or wellbeing were identified, staff sought advice and support from relevant health care professionals. One healthcare professional said, “Staff are on the ball and report straight away if there are any concerns.”

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 told us the food was good and met their nutritional needs, including where they needed a special diet. We overheard people complimenting the cook. A person said, “The food is alright and some days it is fantastic.” Another person said, “If you don’t like it (food) they will bend over backwards to get you something you will enjoy.” A relative added, “The food is good and [persons] dietary needs are basic, but they do like quality, and I believe that’s what they get.” A visit from the local authority had taken place during the assessment and they felt choice of food was limited. They were addressing this with the provider.

People had personalised plans in place to support their health, wellbeing and day-to-day care needs. These included guidance for staff on how to provide consistent and effective support. For example, one person had a behaviour support plan that detailed their individual triggers, early signs of distress and the strategies staff should use to reduce anxiety and maintain their wellbeing. The plan provided staff with instructions on how to respond in a calm, person-centred way and outlined approaches that reflected the person's preferences and needs. This helped ensure the person received safe, consistent and compassionate support.

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 carried out handovers, sharing important information about people’s wellbeing, care needs and medicines to support safe and consistent care.

Staff spoke positively about teamwork and working together to meet people’s needs. The service worked closely with healthcare professionals, including GPs, district nurses and speech and language therapists, to ensure people’s health needs were effectively supported. One healthcare professional said, “The staff are very good, they follow advice and care plans, and the communication is very good too.”

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. One person said, “The care is excellent and they have helped me live my life to the best they can.”

We received positive comments from health care professionals about the way staff supported people to remain healthy and lead a good life. One healthcare professional said “We visit regularly and would highly recommend the service. They are straight on the phone if there are any health concerns and quick to follow advice given.”

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.

Outcome monitoring was supported through regular input from professionals such as occupational therapists and district nurses. Their involvement helped ensure clinical needs and expected outcomes were met, supporting people to achieve and maintain a good quality of life. On occasions, care records were not always as up to date as they should have been, but the registered manager was working hard to address this.

The provider did not always tell people about their rights around consent and did not always respect their rights when delivering care and treatment.

Mental capacity assessments and best interest decisions had been made for people, including in connection with their care and how it was performed. We noted that some best interest decisions had only been made by one professional, while the form used stated decisions should be made by two. Parts of records had not been fully completed, and consent records had not all been signed by the person involved or their relatives. Although people and relatives felt their rights were respected and we found no impact on people, we brought these issues to the attention of the registered manager to address.