Meyrick Cottage

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.

People's needs were assessed before they moved into the service. The registered manager told us the process of a new person moving in included meeting them face to face. If the new person had specific health needs, the provider would source staff the relevant training before the person’s admission to the service.

People’s care needs were routinely reviewed and associated documents, such as care plans, were updated.

The service planned and delivered people’s care and treatment with them, including what was important and mattered to them.

People were complimentary about the food at the service.The menu in the service was diverse and people had weekly meetings to decide what meals they would like to eat next week.

People’s nutrition and hydration needs were assessed and met. When required, people were referred to the speech and language therapist (SALT). SALT undertake assessments of swallowing or communication difficulties for people with medical, neurological and surgical conditions.

Mealtimes were flexible to suit people’s preferences and their schedules.

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 assessment of needs when people moved between different services.

Staff had access to the information they needed to assess, plan and deliver people’s care, treatment and support. The service used an electronic recording and planning system. This meant people’s information was easily accessible to staff.

Care plans had information about people’s health conditions. Health and social care professionals’ visits and conversations were recorded on the service’s electronic system.

Health and social care professionals were complimentary about the service. A health and social care professional said, “[The service has] a very good understanding of people’s needs.”

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 confirmed staff supported them to attend their health appointments. We observed staff providing emotional support to a person before their health appointment.

People were encouraged and supported to make healthier dietary choices to help promote and maintain their health. When possible, people were empowered and supported to manage their own wellbeing needs. Staff understood people’s needs and preferences.

The service had effective working relationships with health and social care professionals.

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.

The electronic recording system used by the service supported oversight of people’s records. This meant staff were able to identify when additional support was required, ensuring timely and appropriate care.

Staff confirmed they knew people well and worked as a team to achieve positive outcomes for them. Any changes in people’s needs or important information were discussed at handovers. This meant staff had access to the most up to date information relating to people’s care and support.

The service held monthly management meetings which looked at a variety of information such as people’s referrals to various health and social care professionals, recent incidents and family involvement. This ensured people’s care and outcomes were discussed with the senior staff to identify any actions requiring follow up.

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

Staff had received training in relation to MCA and had a good understanding of MCA and the importance of consent.

Staff told us they used visual prompts and support to ensure people could make choices and make their own decisions with all relevant information. This could be for choosing a bath over shower, where the person wanted to go and what activities they wished to do.

People confirmed they were given choices and asked what they wanted to do.

Records showed MCA assessments had been completed for individual decisions.These were audited and reviewed regularly.