Collingwood 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 inspection, 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.

Electronic assessments were completed and care plans were in place to guide staff in delivering consistent and appropriate care. These assessments supported staff to understand people’s needs and provide care that was responsive to any changes. We identified some minor shortfalls within the assessments; however, these were promptly addressed by the registered manager during the assessment.

People and those important to them were involved in the planning and review of care. Relatives told us they felt included and were able to contribute to care plans.

The provider delivered people’s care and treatment in partnership with them, ensuring that what mattered most to each person was understood and reflected in daily practice. Care was delivered in line with relevant legislation, recognised standards and current evidence-based guidance which supported positive outcomes for people.

Staff followed best practice in key areas such as moving and handling, ensuring people were supported safely while promoting their independence and dignity. A range of designated champions were in place across the service to support the delivery of evidence-based care. These staff took on additional responsibilities within specialist areas, which helped to promote best practice, share knowledge and support colleagues to deliver care in line with current guidance.

People and relatives spoke positively about the quality of the food provided. People received a diet that met their individual needs, including modified textured diets where required, to support safe eating and drinking. One relative commented that vegetarian options could be better; however, suitable alternatives were available and provided during our visits. A staff member told us, “I am vegetarian and they always make sure there are vegetarian options.” Relatives were also welcome to join their loved ones for meals, which were provided free of charge. This helped maintain meaningful family connections.

The provider ensured staff, teams and external professionals worked effectively together so people experienced coordinated care and did not need to repeat their needs or preferences.

Regular handovers, “flash” meetings, team meetings and supervision supported consistent information sharing and effective joint working across the service. This helped ensure staff had up to date information and could respond promptly to people’s needs.

Health and social care professionals spoke positively about the service and the improvements made. One professional told us, “They seem much more organised and coordinated. Weekly GP visits are more akin to a hospital ward round now, with all information to hand and a clear structure.”

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.

People were seen regularly by a range of health professionals, and staff acted promptly when concerns were identified. One relative told us, “The GP comes in during the week, and they have organised an optician to come in”

People’s wellbeing was also actively promoted through a range of meaningful activities, which encouraged physical movement and social engagement. This supported people to maintain both their physical and emotional wellbeing in a holistic and person-centred way.

The provider routinely monitored people’s care and treatment to continuously improve outcomes.

Staff used an electronic system to monitor various aspects of people’s care in line with their individual needs. This included nutrition, hydration, emotional wellbeing and changes in their mood or presentation. This enabled staff to respond promptly to any changes.

Professionals spoke positively about the care and monitoring at the home. One professional told us, “Another aspect that stands out is how attentive and proactive the staff are when there are concerns about a resident’s health. They are quick to contact nurses or seek further medical advice when necessary, showing professionalism and a strong commitment to resident safety.”

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

Staff sought and recorded consent in line with legal and regulatory requirements, including the Mental Capacity Act. Where people had capacity, they were supported to make their own decisions. Where people lacked capacity, processes were followed to ensure decisions were made in their best interests and in the least restrictive way.

At times, staff had completed mental capacity assessments and best interests decisions where they were not always required, such as where people had capacity or where there were no specific restrictions in place. The registered manager acknowledged this and agreed to review documentation to ensure it was reflective of practice.