St Michaels 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 requires improvement. At this assessment the rating has changed to good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 67 (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 did not always make sure people’s care and treatment were effective because they did not always check and discuss people’s health, care, wellbeing and communication needs with them. Care plans had a good level of detail about people’s conditions and how to support people. However, they did not always contain information about people’s history and their life before they received care. This would help staff to get to know people and understand their background in order to support meaningful care delivery. One person said, “We had a good meeting before I came here, and I felt they listened to me. The Manager came to the hospital to see me and talked about what I could do. She got a really good picture of me. They try really hard to meet my needs.”

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. We observed people being offered choice of meals through show plates, these were used in the communal areas and bedrooms. This helped people living with dementia to make choices around their meals. One person said, “There is always a choice, and I am a vegetarian. The chef will make me some lovely salads, and I do eat fish. I enjoy the food.”

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. People living at the service told us they were supported to medical appointments in the community.

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. A health care professional told us, “I am always greeted by the receptionist, who asks me to sign in the visitor’s book, and finds the appropriate member of staff. I am escorted to the person’s nurse, before I see the person I am due to visit.”

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 knew people well and used monitoring tools to escalate any changes in people. Records were in place to monitor people’s nutritional and hydration needs and ensure they were met.

The provider did not always tell people about their rights around consent. Mental capacity assessments were in place, however these sometimes lacked information to be able to confirm what discussions had taken place or when to determine how a lack of capacity was concluded.