St Cecilia

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 inspection 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 service 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 and support needs were assessed before they moved into the service. Staff had access to information about people’s needs, within their care and support plans in the providers electronic care planning system.

People’s care and support needs were assessed, reviewed, and updated as required. People’s records were accurate, reviewed as planned and reflected the care they were receiving. There was a clear review process which ensured people were involved in each stage, and this included those important to them. Staff told us they worked on care plans following admission to the service as they got to know the person.

The service 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 and their relatives were involved in creating care plans and assessments. Staff told us they worked with people to follow published good practice guidance; this had included working to support people’s emotional support needs and medical conditions. Evidence-based care underpinned the policies, procedures and ways of working within the service.

The service worked well across teams and services to support people. They made sure people only needed to tell their story once by sharing their inspection of needs when people moved between different services.

People’s information was shared effectively, for example with the GP or nurse. Staff kept detailed records of the care they provided, these were shared when needed. The registered manager had oversight of records and could access details of care as required to share them with external professionals. These actions contributed to a positive outcomes and good continuity of care. A health and social care professional said, “The registered manager’s communication was always timely, and their records evidenced excellent communication with other health teams such as the GP surgery and the local mental health team.”

The service supported people to manage their health and wellbeing to maximise their independence, choice and control. The service supported people to live healthier lives and where possible, reduce their future needs for care and support.

People were supported to make healthy choices. Care and support plans were detailed regarding food and drink, and information was accessible to the kitchen staff. Where people were supported with eating and drinking there were clear instructions in place, this included where a person may have difficulty swallowing or needed a special diet. Information about people’s needs was shared and updated efficiently as records were electronic. People’s nutrition and hydration needs were known to staff, and plans were in place for each person, this included for specific needs such as, likes, dislikes, intolerances and allergies.

The service 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 and their relatives shared examples of how people’s lives had improved since moving to St Cecilia. Care plans and risk assessments detailed clear goals and outcomes for people, and this included instructions on what the person could do for themselves. Each care and support plan were individual and centred around the person, this had supported staff to deliver a holistic approach to care. A health and social care professional said, “Support is sought appropriately and following the correct process.”

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

People told us they were treated with respect and supported with kindness. A person said, “I am very happy here and well looked after.” As appropriate, relatives had been involved in decisions made on the persons behalf. Consent was sought from people and where necessary in accordance with the Mental Capacity Act 2005 (MCA). A clear process was in place to carry out MCA assessments where required. Care was planned in the person’s best interest, in the least restrictive way and in consultation with others. Staff received training and guidance in the MCA and told us the importance of asking for consent for all interactions with people.