Seacroft Green 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 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 made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them.

People's needs had been assessed holistically and reflected within care planning. Care plans demonstrated an understanding of the impact health conditions had on daily living and reflected the support people required. Communication needs were clearly recorded and included guidance regarding verbal and non-verbal communication methods, processing information and responding to questions.

Personal histories, relationships, interests and preferences were documented and reflected within care planning. People were supported in accordance with what was important to them, including maintaining family relationships, familiar routines and preferred environments. A person told us, “They discuss my care plan with me.”

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 and treatment were delivered in line with assessed needs and supported by recognised assessment processes. Evidence demonstrated that interventions were implemented in response to identified risks and reflected current care requirements. This included pressure care interventions and repositioning schedules.

Care plans provided staff with clear guidance to support people experiencing anxiety or distress. Records recognised behaviours may be a means of communicating unmet need and included practical strategies to promote positive engagement and reduce distress.

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.

There was evidence of collaborative working with healthcare professionals and those involved in people's care. Professional involvement had informed care planning, clinical monitoring and treatment arrangements.

Recommendations and interventions from healthcare partners were reflected within care records. Family members and representatives were involved where appropriate to support care delivery and decision-making. A professional told us, “We do a weekly meeting, it’s working well at the moment, I think. Really good nurse here who attends MDT meeting, so it’s single contact, which is great.”

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 their health and wellbeing through proactive monitoring and personalised support.

Nutritional and hydration needs were assessed, monitored and reviewed. Where risks had been identified, additional measures had been implemented, including monitoring of food and fluid intake, weight monitoring and provision of high-calorie dietary support where required.

Measures were in place to reduce deterioration in health and wellbeing. Emotional wellbeing was considered throughout care planning. People were supported through reassurance, meaningful engagement, one-to-one support, music and maintenance of important relationships and routines.

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.

Effective systems were in place to monitor people's health, wellbeing and outcomes. Changes in presentation were recognised and reflected within care planning. Records demonstrated monitoring of care and support needs.

Care plans had been reviewed and updated to reflect changing circumstances and ongoing evaluation of outcomes.

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 Act 2005 (MCA) principles were reflected within care documentation. Decision-specific assessments had been completed where required and appropriate legal safeguards were in place, including deprivation of liberty applications, Do Not Attempt Cardiopulmonary Resuscitation (DNACPR) documentation and involvement of attorneys where applicable. Staff were up to date with training in the MCA.

Records demonstrated consideration of people's capacity to make specific decisions and evidenced best interests decision-making processes where capacity was lacking.

A discrepancy was identified within bed rail documentation, which did not consistently evidence discussions relating to consent, mental capacity assessments and best interests' decision-making. This was discussed with the deputy manager who took immediate action to address the issue, identified lessons learned and implemented measures to strengthen documentation and improve future practice.