Capwell Grange 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.

At our last inspection we rated this key question good. At this inspection, the rating has remained 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 thoroughly assessing and reviewing their health, care, wellbeing and communication needs with them. People’s needs were assessed when they first started living at the service and were reassessed regularly. These focused on people’s preferences, likes and dislikes as well as the support they needed with essential support such as personal care. Staff told us assessments were detailed, and they were updated a lot over the first few weeks as they got to know people better. One person said, ‘‘Moving in here was fine. I was asked lots of questions and staff have listened to what I want.’’ A relative told us, ‘‘[Staff] gave me some paperwork to fill in and chatted with me about what was important to [family member]. The process worked well.’’

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 management team stayed up to date with best practice in relation to supporting people. For example, they organised training for staff specifically based around supporting people living with dementia. They updated people’s care plans where necessary and took feedback from visiting professionals seriously to promote best practice. One relative told us, ‘‘I think the staff are well trained and know what they are doing. [Family member] has no problems speaking their mind and has no complaints so this indicates to us they are happy.’’

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. Staff worked and communicated well with each other whilst supporting people. They told us they had regular handovers to share information. Staff worked well with other professionals to help people have positive outcomes in relation to their health. One person said, ‘‘[Staff] all know each other, so it is nice when we all sit together.’’ A professional told us ‘‘The staff team are quick to notice any changes in people’s needs and contact us straight away.’’

The provider supported people to manage their health and wellbeing and supported them to live healthier lives and where possible, reduce their future needs for care and support. People were supported to be healthy in ways such as eating and drinking enough and being supported to not develop pressure sores. Staff knew how to support people with their needs, for example by preparing their food and drink in ways that were safe for them or supporting them to do exercises to stay healthy. One relative told us, ‘‘When [family member] started living at the service they needed [equipment] to move around independently. They do not need this anymore which is great and has made them feel brilliant.’’

Staff in charge of providing food and drink for people took pride in their work, cooking food from scratch and cooking meals which they knew people liked. People and relatives were positive about the food at the service. One person said, ‘‘The food is brilliant here and there is always plenty of it.’’ A relative told us, ‘‘[Staff] really spoil [family member] and get them anything they want to eat whenever they want it.’’

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured that people’s health outcomes were positive and consistent. The management and staff team reviewed people’s care plans and records to help ensure they were being supported in line with their support needs. People had experienced good outcomes in relation to their health needs such as not developing pressure sores or being supported to maintain healthy weights. People had also had good outcomes in relation to their wellbeing, for example being supported to be more confident or take part in more past times. One person who in the past had found it hard to socialise, was visibly very happy during our visits to the service. They were engaging in pastimes such as singing and games and were visibly happy to be doing this. A relative told us, ‘‘Since [family member] has lived at the service they have gone from strength-to-strength health-wise.’’

The provider told people about their rights around consent and respected these when delivering support. People were supported in line with the Mental Capacity Act (MCA). Where people did not have capacity to consent to their support, assessments were completed and decisions were made in their best interest, with involvement from those who knew them well. Staff understood the principles of the MCA and knew the importance of asking people for consent. A relative told us, ‘‘[Family member] is still very much their own person. They are starting to struggle to remember things, but the staff completely understand and respect this.’’