Archived: Barnes Court 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 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 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 service had systems in place to conduct pre-assessments prior to people joining the service. This gathers important information about the person’s health, needs, risks, and preferences. We found some pre-assessments had not been conducted, this was prior to the new manager being post. The provider had already identified this issue and had put an action plan in place to address it.

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

The service delivered care and support in line with best practice guidance. People had enough to eat and drink to prevent malnutrition or dehydration and were supported to manage their dietary needs and associated risks. We found some food and fluid records were not completed. The manager told us this had been identified, and we saw additional guidance had been cascaded to staff to make improvements. The service monitored records relating to weight management, nutrition and hydration. This information was regularly reviewed and when required referrals were made to external healthcare professionals.

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.

New staff were supported by experienced colleagues to ensure people's needs were met. Staff had access to information they need to understand people’s needs and appropriately assess, plan and deliver their care, treatment and support.

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.

Staff supported people to access healthcare professionals to manage their general health. The service made referrals to appropriate health and social care services when people’s needs changed, and any recommendations were acted upon.

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.

Clinical monitoring tools were in place to identify changes in people in a timely manner. A new clinical lead had been employed to have oversight of clinical information and to support the nurse staff team.

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

The provider had a consent, Mental Capacity Act 2005, best interest decisions and DoLS policy in place and staff had completed training in this area. The majority of records showed that mental capacity assessments and best interest decision making meetings had taken place and relevant people were involved in the process. Quality assurance systems had identified some gaps and plans were in place to make improvements.

The Mental Capacity Act 2005 (MCA) provides a legal framework for making particular decisions on behalf of people who may lack the mental capacity to do so for themselves. The MCA requires that, as far as possible, people make their own decisions and are helped to do so when needed. When they lack mental capacity to take particular decisions, any made on their behalf must be in their best interests and as least restrictive as possible.

The home was working within the principles of the MCA and if needed, appropriate legal authorisations were in place to deprive a person of their liberty.