Chapter House Care Home

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• 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 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 were assessed and care plans were developed to guide staff in providing appropriate support. However, some care plans did not always include sufficient detail about people’s health needs or clearly outline the actions staff needed to take to ensure effective care. For example, one person’s diabetes care plan did not specify how often blood sugars should be monitored or who was responsible for completing these checks.

Care plans and risk assessments were reviewed regularly, and people and their relatives told us they were involved in both the assessment and review processes. One relative told us, "[Person's name] has been poorly and in bed this week, staff came in and talked to them yesterday and they [staff] explained they need to start getting them out of bed again and talked them through the plan and made sure they agreed."

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 followed best ‑practice guidance when assessing people’s needs. Staff demonstrated an understanding of people and clearly explained how they delivered personalised care and support. Care records also showed active involvement from GPs, district nurses, occupational therapists, and other healthcare professionals in planning and reviewing people’s care.

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 together to deliver effective care and support. There were systems in place, including regular reviews, team meetings and daily handovers, which ensured that people’s needs were consistently communicated and understood.

Staff sought specialist advice when required to ensure people received care and treatment tailored to their individual needs.

Staff demonstrated detailed knowledge of the people they supported and were able to describe the factors that contributed to effective teamwork. One member of staff told us, "Handovers are good, we use a pod system to communicate how people are and everyone has access to."

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 obtain healthcare services and treatment whenever they needed them. Staff monitored people’s health, completing routine checks and regularly monitoring weights to identify any changes. Care records showed staff worked with external healthcare professionals to coordinate support and make sure people received timely and appropriate care. This included attending scheduled health appointments and following up on any actions or recommendations afterward.

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.

Staff completed regular checks to monitor each person’s health and wellbeing. These were documented and used to identify and address any emerging issues.

People and their relatives were actively involved in reviewing care plans, which clearly outlined people’s needs, personal preferences, and how staff should support them. One person told us, "I'm happy here, the staff are great and we often discuss my care and support and things that would help me day to day."

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

Staff had completed the required training and were confident in how and when to seek consent from people. The provider had appropriate systems in place and demonstrated a clear understanding of their responsibilities under the Mental Capacity Act (MCA).

Where there were indications that a person might lack capacity to make their own decisions, the provider carried out capacity assessments and best interest meetings. These were documented; however, multiple decisions were recorded within a single document rather than being documented individually, which was not in line with the MCA requirements.