Byron Court Care Home

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• 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 care plans were reviewed at least monthly. We saw any changes to people’s care plans, such as their mobility or dietary requirements were captured during the reviews and changes were made to overall care plan.

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 had monitoring information in place to ensure people were receiving the correct care. Reposition charts were completed for people, and food and fluid charts were also completed.

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. Each person had a snapshot of information which was available to accompany them to appointments and hospital admissions. This detailed important need to know information about them, such as any allergies, medicines, and communication needs. This was reviewed each time there was a change in people’s needs.

The provider did not always support people to manage their health and wellbeing, so people could not always maximise their independence, choice and control. Staff did not always support people to live healthier lives, or where possible, reduce their future needs for care and support. Some people told us they would like to go for a walk or outside and said this did not happen. One person said, “I would like more freedom because I can only walk up and down this corridor, but I can’t go out and I would love to go out more with a carer.” Another person told us they had not seen a dentist and would like to. We raised this information with the provider who has since updated us. They have taken action to address people’s feedback.

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. Care plans and risk assessments were reviewed with people if they were able or their family members to ensure they reflected their needs.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. People’s capacity was assessed appropriately and focused on specific decisions. For example, we saw consideration was given to decisions and choices people could make for themselves, such as what they wore or ate. People were asked for consent by staff, and where able, people had signed their own consent forms. Where this was not possible, this had been done with their involvement using a best interest process.