St David's 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 meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 71 (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 assessed people’s needs after they moved to the home and created care plans designed to meet these needs. Care plans were regularly reviewed and updated. They contained personalised information and clear guidance for staff. Some people and relatives told us they had not been consulted. We discussed people’s feedback with the management team so they could ensure everyone felt they enough opportunity to be involved. The provider showed us evidence of reviews where people had contributed their views on care plans.

People received evidence-based care and treatment. Staff used good practice tools and guidance to develop care plans and monitor people’s needs. Staff demonstrated good knowledge about people’s individual needs and how to meet these. Nurses oversaw people’s treatment and health.

Some staff undertook additional training about a specific area of care. They cascaded this knowledge and worked with other staff to help make sure they followed best practice.

Staff worked well with each other, sharing information when needed. There were detailed handovers between staff. Care plans were updated. Nurses regularly met to discuss people’s health and clinical needs. There were daily meetings for heads of department to discuss the service.

Information from external professionals had been included in care plans. Care records were updated following medical appointments and reviews of care. Staff made timely referrals to external professionals when they identified this was needed.

Staff supported people to live healthy lives. The provider employed nurses who oversaw people’s healthcare, liaising with doctors and other professionals when needed. They created detailed care plans about people’s needs and how these should be monitored and met. The provider employed in-house physiotherapists who supported people with their mobility.

Staff gave us examples about improvements in people’s health and condition following a stay at the service.

People’s nutrition and hydration needs were met. They were offered a range of freshly prepared food. Staff ensured people had enough to drink.

Staff did not always feel supported when they identified changes in people’s care were needed. For example, when they raised concerns about lack of equipment to meet people’s needs. This meant improvements were not always made in a timely way.

Staff monitored people’s health and wellbeing. Nurses regularly reviewed care plans. The provider’s electronic care planning system identified when people did not eat or drink enough, or other concerns about their health, care and wellbeing. A relative explained, “[Person] had difficulty swallowing. The staff picked up the problem and did something about it straight away.”

People consented to their care and treatment. Staff obtained consent before providing care and respected their decisions. Some people did not have the mental capacity to make certain decisions about their care or treatment. The provider worked with their relatives or representatives to help make sure decisions were made in their best interests. The provider obtained information about people’s legal representatives and lasting powers of attorney. They obtained their consent when making decisions.