Cayton View 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 75 (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 received a first face to face assessment prior to moving to the home to confirm the service was suitable for their needs. The initial assessment formed the basis of the care and support needed. The first assessment included consideration of people’s physical, mental health, and social well-being, as well as their nutrition and hydration requirements. People’s communication methods were outlined within their care plans to ensure they could understand and respond to the care and treatment which helped make it work for them. Care plans we looked at showed any difficulties with communication. For example, with hearing or speech and details of equipment used such as glasses and hearing aids. Where people were unable to fully understand and agree to the care and support the provider consulted with relatives, advocates and other health professionals to ensure the care remained in the person’s best interest with consideration of any personal wishes and preferences.

The provider planned and delivered people’s care and treatment with them, including what was important and mattered to them. Suitably trained and competent staff delivered care and support in line with current evidence-based guidance, standards, and best practices. Bespoke policies included updated national guidance providing staff with clear reference on outcomes people should expect. Electronic care monitoring provided outcomes for people’s health and wellbeing. Any emerging concerns were flagged and responsive inputs provided which included support from other health professionals. This helped to improve outcomes for people maintaining their health and wellbeing.

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. Electronic care plans included transferable records which ensured up to date information about people, their background, their needs, preferences, risks, ability, and details of any medications was available to other relevant health professionals. Staff were confident in the information they had about people. One staff told us, “Care plans for people are all up to date, they highlight any risks we need to be aware of, and any changes are quickly actioned and supported through daily staff discussions at handover.”

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. The service had effective working relationships with other health professionals including GP’s, occupational therapists, speech and language therapists, mental health teams, and social workers. Working together effectively enabled people to receive coordinated and person-centred care using up to date clinical interventions. A health visitor told us, “Staff are quick to escalate any concerns with us and follow feedback where additional input is required to support people with any recovery.”

The provider routinely checked 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. Electronic care plans were updated digitally with information following completion of daily tasks, and interventions by staff and health professionals. Completed checks on people were linked to identified risks such as concerns with food and fluid intake, diabetes, personal cares, and activities. This information was collated and displayed in graph format noting improvement or decline. Information was flagged where emerging risks were clear and resulting records confirmed actions taken, involvement from others, and evaluation to check improvement. People were always communicated with to ensure they were comfortable, safe and happy with the interventions, and by the staff who supported them.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. People and their relatives told us staff discussed the service with them and electronic records confirmed people had provided their consent and understood the planned care and support. We saw staff routinely engaged with people during daily activities of care. People can only be deprived of their liberty to receive care and treatment when this is in their best interests and legally authorised under the Mental Capacity Act 2005 (MCA). In care services, and some hospitals, this is usually through MCA application procedures called the Deprivation of Liberty Safeguards (DoLS). We checked whether the service was working within the principles of the MCA, whether proper legal authorisations were in place when needed to deprive a person of their liberty, and whether any conditions relating to those authorisations were being met. Where people had restrictive practices in place, for example, to not leave the home unaccompanied, all legal applications had been made following DoLS. This meant people’s rights were fully respected. The registered manager kept a record and tracker of DoLS applications including pending authorisations; full details of the requirements were recorded including any associated conditions in people’s care plans.