Archived: Windsor 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 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.People’s needs were assessed, and care plans were in place which were person centred and reflected people’s care, health and wellbeing. Work was still ongoing to implement a new electronic system and staff worked hard to ensure records were accurate. Some areas of the care plans would benefit from more detail, such as how people managed their finances. However, managers took this feedback onboard during the inspection and implemented additional records to address this. People told us they were involved in the assessment process and reviewed their care. A new, ‘resident of the day’ process had been implemented to help ensure people’s needs were assessed and reflective of their current wishes. Families were contacted to give input in these reviews and to discuss their relatives care. People’s preferred communication methods had been assessed, and consideration had been made for people who needed additional aides to help with their understanding and communication. For example, a resident whose first language was not English had technology introduced which helped them translate and communicate their needs clearly.

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.People’s nutrition and hydration needs were identified and met. Guidance was in place for staff around modified diets and training was offered to the kitchen staff in this area. People had choice and were positive about the food. One family member told us, “[Relative] enjoys all the food very much!”Monitoring was in place for people at risk of malnutrition and staff encouraged people to eat, offering second helpings and serving dishes that met people’s preferences.

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 ensure information about people was shared appropriately with other services when needed. Hospital passports had been developed to ensure easy information sharing, and good relationships had been developed with partner organisations. Staff worked well together and completed handovers to ensure all staff were updated on people’s care and health.

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 supported to access a range of health care professionals and staff monitored people’s health and well-being daily. There were regular visits from health care professionals including GPs and chiropodists. There was a nurse on site daily to help monitor people’s needs, escalating concerns quickly if people’s health deteriorated. When discussing access to other health care services, a family member told us, “That is all very easy for [Relative] to access.”

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and they met both clinical expectations and the expectations of people themselves.Staff monitored people’s health daily and knew how to escalate concerns if people’s condition changed. People who may have been at greater risk of malnutrition had regular weights recorded and staff monitored daily food and fluid intakes to ensure people remained healthy.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment.Consent to care was recorded clearly within people’s care records. The provider was meeting the requirements of the Mental Capacity Act. Records included assessments of people’s capacity, and best interest decisions where required.