Farriess 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 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 assessing and reviewing their health, care, wellbeing and communication needs with them.

The registered manager implemented a system to assess and review people’s health, care, wellbeing and communication needs, involving people wherever possible. Relatives told us they were involved as necessary and received good communication about updates and changes. People were supported in line with their care plans by staff using people’s preferred communication and maintaining their dignity.

The provider planned and delivered people’s care and treatment with them, including what was important to them. They did this in line with legislation and current evidence-based good practice and standards.

Nationally recognised tools informed people’s care and daily care records showed people received support in line with their assessed needs. For example, where people needed regular checks to maintain their skin integrity, this was carried out. People’s weights were regularly monitored and any concerns managed. For example, people were offered fortified diets in line with their nutrition needs. People were given choices in what they wanted to eat and drink. People told us they very much enjoyed the food offered and could request what they preferred.

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.

Systems were in place to share information internally and externally as required. This included changes in people’s needs and concerns about health and safety. Visiting professionals easily accessed the information they needed for assessments and treatments whilst at the home. One professional told us, “I am able to access care records, the service is open and transparent.”

Staff understood the importance of collaborative working and told us all staff worked as a team. One member of staff said, “The staff team are like a family, and all respect each other. We have very good relationships with external visitors.”

People were supported 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.

People were supported by relevant healthcare professionals as required. Staff followed any recommendations. For example, to support the management of a mental health diagnosis staff completed behaviour monitoring records.

The service was visited weekly by a medical professional who carried out a ward round to review people’s health needs. There were systems in place to raise changes in people’s needs or deterioration in health. People’s records confirmed access to relevant healthcare professionals such as district nurse, dentist and optician.

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.

People’s clinical risks were clearly outlined in their care records, including signs and symptoms of health deterioration for staff to monitor and escalate if required. Changes in people’s needs and any actions required were raised with the manager daily. This ensured prompt action could be taken to ensure people achieved good outcomes.

Relatives were satisfied with the communication from the home about their loved one’s health. One relative told us, “If there is anything I need to know, I get a phone call straight away. Staff keep me up to date.”

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment.

Mental capacity assessments, where completed, followed the principles of the Mental Capacity Act 2005 when supporting people who lacked capacity to make decisions about their care and treatment. People had deprivation of liberty safeguards (DoLS) in place where necessary.

Staff supported people to make everyday choices where possible. We saw staff support people to choose their preferred meal and drinks. One member of staff told us, “Care plans play a central role in supporting a person’s ability to give informed consent, they contain guidance on how to communicate with the person in a way that maximises their understanding, comfort, and ability to make decisions.”