Chasewater Mews

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 inspection for this service under a new provider. 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 told us staff spent time getting to know them and understanding their likes and dislikes. One person told us, “The staff are always welcoming, they often stop and chat. Staff like getting to know all about me.” One relative told us, “Staff support [my family member] with their reviews. We feel heavily involved as a family.”

Staff demonstrated a strong understanding of people’s needs and were able to share detailed information without relying on care records. For example, one staff member explained how they safely managed special dietary requirements, such as diabetic or weight-loss diets, for specific people.

Regular assessments and reviews were conducted to ensure people’s care and support needs were met appropriately.

The provider planned and delivered people’s care and treatment with them, including what was important and mattered to them.

People told us their personal preferences were respected, and they enjoyed the meals provided. Where people declined a meal option, suitable alternatives were offered. One person told us, “Food is very good. I always have a good dinner. Breakfast is a round of toast or whatever I want.” Another person told us, “The chef asked me about my likes. I told them about the food I had at home and how they don't have the same puddings here, so the chef said they would cook some and put them on the menu.”

During the inspection visit, which took place on an especially warm day, we observed staff offering watermelons, ice lollies, and chilled drinks to help people stay hydrated.

Where people required modified diets, this was clearly documented in their care plans and appropriately risk assessed. Catering staff were well-informed about these dietary needs and took care to present meals in an appealing way.

The provider worked well across teams and services to support people.

People told us the provider kept them updated and informed about their health appointments. One person said, “They [staff] always let me know about my health appointments. When my last appointment was cancelled, they [staff] told me, and they rearranged it.”

Visiting professionals told us the provider communicated effectively with them. One visiting professional told us, “The information we receive from the care home seems accurate and staff can access all the information we ask for.”

Staff gave us examples of how they worked in partnership with professionals. One staff member said, “When visiting professionals such nurses or occupational therapists come in, any updates from the visit are handed over and noted on the system. Therefore, we can all see the changes and implement them.”

The provider appropriately escalated concerns to relevant professionals when necessary.

The provider supported people to manage their health and wellbeing to maximise their independence, choice and control.

People told us the provider encouraged them to live healthier lives. One person told us about their fear of attending a particular health appointment. They said, “I didn’t want to go, I have always hated [this appointment]. The registered manager took me and told me they would hold my hand. They were more than kind. After the appointment, the [health professional] said I needed to return for a 2nd appointment. The registered manager said they would take me and hold my hand again, so I agreed. This was kind.”

We observed staff encouraging people to stay hydrated. Staff told us how they encouraged people to stay active and eat healthily.

We examined care records that demonstrated how risks associated with people identified as underweight or overweight were assessed and addressed through appropriate interventions.

The provider routinely monitored people’s care and treatment to continuously improve it. However, further improvement was needed when escalating concerns relating to people’s fluid intake.

The provider monitored and recorded people’s hydration and we observed staff encouraging people to drink. However, care plans and monitoring records did not detail people’s fluid targets or when to escalate concerns. Therefore, the provider could not be assured whether people were consistently remaining hydrated. The provider was proactive to our feedback. They contacted a health professional and obtained fluid targets; they shared updated care plans clearly detailing when and how concerns were to be raised.

The provider consistently monitored other areas of people’s health, for example where people required regular repositioning, bloods monitoring or bowel movements, these were clearly recorded and concerns escalated appropriately.

People told us their mental health and wellbeing had improved since moving into the home. One person told us, “I was a bit lonely living on my own. I have friends here. It's lovely just talking to my friends.”

Staff told us how they monitored people’s care. One staff member said, “We are told during handover if someone's needs have changed, such as they may need repositioning every 2 hours instead of 4 hourly. Everything is documented, it's important we document everything.”

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

People told us staff respected their decisions and always sought consent before providing support. One person told us about activities which occurred in the home. They said, “You can choose to get involved if you want to or you can watch, or not get involved, it's your choice.” Another person told us, “Staff always ask me if I need and want support. They always ask permission before doing anything and they knock on my door.”

Staff understood the principles of the Mental Capacity Act. 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.

Staff encouraged people to make their own choices regarding their care and support. We observed staff interacting respectfully, checking with people before offering help with tasks. One staff member told us, “It's important people are given choices and encouraged to make their own decisions, such as where they want to sit or what they want to eat.” Another staff member said, “Where people lack capacity, we need to ensure any decisions are in the person's best interests.”

Mental capacity assessments and best interest meetings were carried out to ensure decisions were appropriate and upheld the least restrictive approach. These included decisions about where people should live and the provision of personal care.