Hawthorn Court

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.At our last inspection we rated this key question requires improvement. At this inspection the rating has changed to 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.

Staff made sure people’s care and treatment was effective by assessing and reviewing their health, care, well-being and communication needs with them. A relative commented, “The doctor is coming in tomorrow, [Name] has seen the chiropodist.” Staff told us there were effective systems in place to assess and monitor people’s needs. This included handover meetings between incoming and outgoing staff on shift, staff meetings and daily flash meetings. A staff member commented,” We have a daily flash meeting and a monthly staff meeting, that is minuted.”

Staff 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. There was effective recording and monitoring of people’s nutritional and fluid intake, with specialist advice obtained in a timely way, including for modified diets. A relative told us, “The food is good, it is well cooked, and there is a choice.” The environment was well-maintained, bright and comfortable and people enjoyed personalised rooms. A person commented, “The environment is pleasant, in the summer I go in the garden, it is nice, the fence has just been painted.” We discussed with the manager that the environment should continue to be appropriately designed and signage available, to meet the needs of people who may live with dementia or a dementia related condition to keep them orientated, engaged and maintain their independence. After the inspection we were informed that this was being addressed.

Staff at the service worked well across teams and services to support people. Staff made timely referrals and worked well with other agencies to ensure people's treatment needs were met. A health professional commented, “I regularly attend Hawthorn Court to complete patient annual health reviews and the staff have always made time for me to answer any questions I may have.”

Staff at the service supported people to manage their health and well-being to maximise their independence, choice and control. The service supported people to live healthier lives and where possible, reduce their future needs for care and support.Records included specialist advice and guidance, that had been obtained where people had additional support needs, such as, from the speech and language therapist or community nursing team. People and relatives told us they were supported to access health care. A relative commented, “[Name] went in an ambulance to the hospital recently. Staff from the home rang and we came over straight away.”

Staff 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.Care plans were personalised to ensure outcomes could be met ensuring people received safe and effective support. There was a system of evaluation of risk assessments and people's care plans. Peoples’ comments included, “Staff have discussed my care plan with me” and “Staff do reviews, they will always speak to my daughter and son in law.”

Staff at the service told people about their rights around consent and respected these when delivering person-centred care and treatment. Assessments were carried out, around people’s mental capacity and care records contained relevant information.