Claremont

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 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 assessed and reviewed people’s health, care, wellbeing and communication needs with them to provide effective care. However, aspects of some of these needs assessments were slightly contradictory in parts or could be potentially misleading, due to the inclusion of some standardised wording from the provider’s electronic care planning system. The registered manager responded promptly to our feedback and reviewed the assessments to address any anomalies and make the assessments clearer where required.
 

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. The provider used appropriate tools to assess and monitor specific areas, including nutrition and hydration. People received appropriate support with their nutritional needs, and staff had knowledge of people’s dietary requirements. People were offered a choice of meals and told us they enjoyed the food. One person commented, “It's good the food here to be fair…it's usually fine.” A relative told us, “[Name] seems to like it… All the staff are very aware of how [Name] needs their food prepared and are very vigilant with this.”

The provider worked well across teams and services to support people. They made sure people only needed to tell their story once by sharing relevant information when people moved between different services or accessed other healthcare support. We received positive feedback from visiting healthcare professionals. One told us, “Staff always know I'm coming. The communication is really good.” Another visiting professional told us, “Staff seemed educated on their roles and residents’ needs. They appeared to understand which avenues to take to reach out for help if required.”

The staff team were generally organised and information was passed on via staff meetings and handover information on the provider’s electronic system. Most staff told us there was good teamwork, although one staff member felt there was some inconsistency and that teamwork could be improved.

The provider supported people to manage their health and wellbeing to maximise their choice and control. Staff supported people to live healthier lives where possible. Staff made appropriate referrals to health specialists where required, and followed any advice given to help people manage any health needs. A relative told us, “I think they manage [Name]’s health really well and notice any changes.”

Information was available in people’s care plans relating to any specific health needs, and any support required in relation to this. Care plans also included information about promoting a healthy low-fat diet, where people needed support to manage their weight. People’s choices were respected in relation to their meals.

Staff and a relative told us people went out for walks to encourage physical activity and wellbeing.

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes met people’s needs and preferences. Staff worked with people to identify any goals or outcomes they wished to achieve as part of the care planning process. On the provider’s care planning system, there was a planned outcome recorded for each aspect of the person’s care. For instance, one person had individual goals in relation to managing their health conditions and having a holiday each year. It wasn’t always very clear from records how progress towards these specific goals was being actioned and monitored. However, there were monthly reviews of the care plan which tracked people’s progress more generally.

Staff provided some examples of positive outcomes for people since living at the home, such as a reduction in distressed behaviours. One relative also told us, “I've never known [Name] so happy.”

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. The provider had made improvements since the last inspection and now ensured capacity assessments were in place for specific decisions about any restrictions in place. There were also records in relation to decisions made in people’s best interests, and relevant people had been involved in these discussions. We discussed with the registered manager that aspects of the capacity assessment records could be clearer, about how decisions had been made. The registered manager reviewed and updated these records straightaway. They also agreed to seek and retain evidence where anyone had a lasting power of attorney for health and welfare. We observed staff sought consent when offering care and respected people’s wishes.