Pear Tree 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, the effective key question was not reassessed and the previously awarded requires improvement rating from 2019 was therefore carried forward. At this assessment the rating has changed to good.

This service scored 83 (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 consistently ensured care and treatment were effective through thorough assessments of people's health, wellbeing, care and communication needs.

Assessments identified achievable goals and outcomes, which were regularly reviewed and adjusted where necessary. This person-centred approach supported high-quality care that promoted wellbeing, independence and choice.

Two people had successfully moved from the nursing floor to the residential area following comprehensive reassessments and consideration of their social needs. This had a significant positive impact on their physical and emotional wellbeing.

One person told us: "I started on the nursing floor. I've done so well and have been looked after so well. I've been moved to the residential floor. I still go up and see my friends on the top floor and staff help me, which is great."

A relative said: "My loved one's physical and emotional needs are met, and they involve them in everything that happens in the home and with their care and support." Another relative told us: "The initial assessment was done at the hospital and was thorough. I was involved in the discussions."

People had communication care plans and hospital transfer documents where required. Staff told us they were kept informed of any changes to care plans and always had access to the most up-to-date information.

The provider planned and delivered care in partnership with people, taking account of what was important to them. Care and treatment were delivered in line with current legislation, recognised best practice and professional guidance.

Staff used nationally recognised assessment tools to monitor people's needs and regularly review outcomes. This enabled care to be adapted promptly and ensured support remained safe, effective and personalised. Areas monitored included skin integrity, nutrition and hydration.

Where risks relating to nutrition or hydration had been identified, staff maintained appropriate records and monitored intake to ensure people received adequate support. Referrals to healthcare professionals were made promptly when additional specialist input was required.

The provider worked exceptionally well with people, relatives and partner organisations to ensure coordinated care and positive outcomes. Detailed assessments and information were shared effectively when people moved between services, reducing the need for people to repeat their experiences.

People and those important to them were actively involved in assessments and care planning wherever possible. People consistently spoke positively about the support they received. One person told us: "I have Parkinson's and it's very important I get my medication on time. I'm never worried as I have an alert alarm on my wrist and staff are always bringing my medication around at the right time." People told us staff knew their preferences, life histories and routines well, and regularly engaged them in meaningful conversations.

Relatives praised communication and collaborative working. One relative said: "We have a good line of communication. I was unsure if my relative was having sufficient washes. They [staff] listened to us, reassured us everything was okay and kept us updated. They responded to our concerns."

Health and social care professionals also spoke positively about the service and its commitment to achieving positive outcomes. One social care professional told us: "I observed positive examples of the service promoting individual rights and wellbeing. One resident with dementia who was subject to a DoLS was supported in the least restrictive manner possible, enabling community access, family visits and meaningful social engagement."

The provider supported people to manage their health and wellbeing, maximising independence, choice and control. Staff encouraged people to maintain healthy lifestyles and, where possible, reduce future care needs.

People and relatives consistently praised the quality of the food. During the inspection, we observed people receiving well-presented, nutritionally balanced meals. Modified diets were tailored to individual needs and presented in an appetising manner.

The home introduced a sugar-free, vitamin-enriched drink mix that flavoured water and encouraged people to increase their fluid intake. Several drink dispensers were available throughout the home to promote hydration.

People were encouraged to remain physically active. The registered manager told us people participated in regular exercise sessions. A social care professional described how 1 person with limited mobility had been supported with appropriate equipment and assistance to access communal areas and activities, promoting inclusion, participation and wellbeing.

The provider routinely monitored people's care and treatment to ensure outcomes remained positive and consistent. Systems were in place to review both clinical outcomes and people's individual experiences of care.

Staff used an electronic care monitoring system to maintain oversight of key aspects of people's wellbeing, including nutrition, hydration, emotional wellbeing and changes in mood, behaviour or presentation. This enabled staff to identify trends, respond promptly to changes and provide timely, personalised support.

People were supported to achieve positive outcomes that enhanced their health, wellbeing and quality of life. A person said, "Staff are marvellous and help me with everything so I can be as independent as possible and not worry. My relative bought me a new wheelchair, I love it and staff know how to use it and keep me safe. It is well looked after; staff keep it clean and regularly charge it. If I need pain relief, they are always there to provide it."

The provider supported people to understand their rights and ensured consent was respected when delivering person-centred care and treatment.

Management worked in partnership with people, families, advocates and representatives in accordance with the Mental Capacity Act 2005 (MCA). Staff completed MCA training and demonstrated a good understanding of consent and decision-making.

Throughout the inspection, we observed staff seeking consent before providing support. Care records contained evidence of consent to care and treatment where appropriate.