Eccleshare 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 assessment we rated this key question good. At this assessment the rating has remained 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.

People's needs were assessed prior to admission and information about their care and support needs was recorded and shared with staff.

Relatives told us they were involved in providing information before their family member moved into the service and records showed pre-admission assessments had been completed. One relative told us, "My [family member] has been there only for 2-3 weeks and during [the] referral [my family member] said that they asked a lot of questions. They kept in touch with me on the phone, but I have not seen the Care Plan yet." Another relative said, "The transition from the previous home to Eccleshare was handled very well and they went over and above what was expected."

Staff told us care plans and risk information were available electronically and they received updates when people's needs changed. People and relatives were positive about staff's understanding of their needs and described good communication with the service regarding changes in people's health and wellbeing.

The provider used recognised assessment tools to monitor risks associated with people's care. For example, where people were at risk of weight loss, records demonstrated weights were monitored and food and fluid records were implemented when required. This supported staff to identify changes in people's needs and seek additional support from healthcare professionals when necessary.

People's care and support was mostly delivered in line with recognised good practice, with appropriate assessment and monitoring of risks.

Staff used recognised assessment tools to assess and monitor people's needs, including malnutrition and pressure area risks. Records showed these were reviewed regularly and used to identify when additional monitoring or intervention was required. Where people were at risk of weight loss or dehydration, food and fluid records were implemented, weights were monitored and referrals were made to healthcare professionals when concerns were identified.

People were positive about the food provided and told us they were offered a choice of meals and drinks. Staff demonstrated an understanding of people's dietary needs and preferences, and systems were in place to communicate changes to kitchen staff and care staff through electronic records.

Staff told us information about dietary requirements, including diabetes and swallowing risks, was readily available and updated when needs changed. Records demonstrated people received support in line with professional advice where this was required.

People's care was supported through effective partnership working with healthcare professionals and other agencies.

Records demonstrated the provider worked with a range of healthcare professionals, including GPs, district nurses, speech and language therapists and dietitians when required. Professional advice was incorporated into people's care records and monitoring systems were used to support ongoing review of people's needs.

Staff told us they could access support from external professionals when people's needs changed and were confident concerns would be escalated appropriately. People and relatives were positive about communication from the service and told us they were kept informed about important changes relating to people's care and wellbeing.

People were supported to maintain their health and wellbeing and to access healthcare services when required.

People and relatives told us staff responded appropriately to changes in health needs and sought medical advice when concerns arose. Records demonstrated people had access to healthcare professionals and community health services. Where changes in people's health were identified, staff sought advice and followed recommendations provided by healthcare professionals.

Staff demonstrated an understanding of people's health conditions and were able to describe how they monitored for signs of deterioration and escalated concerns when required.

People and relatives were positive about the support provided to maintain health and wellbeing and told us staff knew people well and recognised when additional support was needed.

The provider could not always demonstrate how monitoring information was used to improve outcomes for people.

Leaders monitored a range of information relating to people's health and wellbeing. However, records did not consistently demonstrate how this information was used to evaluate whether support strategies were effective or resulted in improved outcomes for people.

In particular, some people experienced recurring incidents of distress. Whilst these incidents were monitored, there was limited evidence that information gathered was being used to develop new approaches or reduce the likelihood of recurrence. This reduced assurance that monitoring processes were driving continuous improvement in people's experiences and quality of life.

The provider recognised improvements were needed in understanding and responding to people's distress and had plans to work with a dementia lead to improve staff understanding and recording of incidents.

People's rights, choices and decisions were respected, and staff understood the importance of seeking consent before providing care and support.

People and relatives told us they were involved in decisions about care and felt their views were listened to. During the inspection, we observed staff offering people choices and seeking consent before providing support, demonstrating a respectful approach to care.

Records showed mental capacity assessments had been completed where required and were decision specific. Where people lacked capacity to make particular decisions, records demonstrated family members and relevant representatives were involved in decision-making processes. Care records included information about people's ability to make decisions and the support they required to express their preferences.