Penrose 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 inspection we rated this key question good. At this inspection the rating has remained good. This meant people’s outcomes were consistently good.

This service scored 71 (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 and they reassessed people’s support needs when they changed.

Before people started living at the service, the management team completed a detailed assessment of their support needs to make sure they could be accommodated. This involved meeting with the person and those close to them to discuss not only their support needs, but also their preferences, likes and dislikes. People’s support needs were reviewed and reassessed regularly. People and their relatives were positive about their experiences when they started living at the service. One relative said, ‘‘[Staff] are brilliant. They came and did the assessment and made sure they could meet all of [family members] needs down to the littlest thing. [Family member] has settled in really well.’’ A person told us, ‘‘It’s been lovely starting to live here. It feels like my home.’’

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.

Staff were trained to support people with their specific needs such as living with dementia or nursing needs. The management team were passionate about best practice and held regular meetings with the staff team to discuss this. They also attended meetings and forums to stay up to date with current legislation and evidence-based care. People living with dementia lived on 1 floor of the service and this floor was specifically decorated to help people orientate in their environment. For example, there was an indoor garden, and doors were painted specific colours so people would know where they were in their home. One relative told us, ‘‘I would say the support [family member] gets is very good. Their [health condition] is progressing but staff still manage to keep them safe and well. They all know what they are doing.’’

The provider worked well across teams and services to support people. Staff were positive and complimentary about their colleagues and how well they worked together. They told us they pulled together to support each other to help ensure people received the best care possible. Staff worked well with other professionals such as GP’s and nurses and followed their advice when it came to supporting people. Feedback from professionals about the service was positive. One person said, ‘‘[Staff] all get on together like one big family. It is like we are all friends.’’ A relative told us, ‘‘It is a well-oiled machine here. If [family member] needs help from a professional staff notice this straight away and they get the help they need immediately.’’

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

People were supported to stay healthy in line with their support needs. Staff supported people to eat and drink safely and monitored this aspect of their support, if this was necessary. People were supported to stay healthy by completing exercises recommended by professionals and by being supported to move regularly to reduce the risk of issues such as pressure area care. One person said, ‘‘[Staff] make sure I get up and move about as much as possible. There is always a drink on my bedside table as well.’’

People and relatives were positive about the food prepared for them at the service. The staff working in the kitchen area were passionate about providing good quality food and knew people’s dietary preferences and support needs well. People enjoyed their meals and were served meals which met their support needs. One person said, ‘‘The food is excellent here. They bring the menu at nighttime for dinner and supper the next day and you can choose. There is usually something I like. I go down in the middle of the night and make a cup of coffee.’’ A relative told us, ‘‘[Family member] knows if they don’t like the 2 choices of meals they can ask for something different. The portions are small as this works for them. They can have snacks between meals. They know they can ask for fizzy drinks which they like and jugs of squash.’’

The provider did not always routinely monitor people’s care and treatment to continuously improve it. People’s outcomes were not always positive and consistent.

It was not clear how people were being consistently supported to achieve outcomes in relation to their emotional health and wellbeing. Some care plans and risk assessments did not detail how people were to be supported in these areas in enough detail. Staff were not always recording how people were feeling in their daily records or how they were supporting them when they felt upset or anxious. They were also not consistently recording whether they were supporting people with exercises relating to their health needs and the impact this was having for people. It was also unclear how people were being supported to spend their time in relation to following their pastimes and reducing social isolation. The registered manager acknowledged this was an area for improvement and showed us their plans to improve.

People had been supported to achieve good health outcomes in relation to their support in areas such as pressure area care, nutrition and hydration. One person said, ‘‘I have [health condition] so staff changed my [support need] and it is all good now.’’ A relative told us, ‘‘[Staff] know what they are doing and make changes in [family member’s] best interests to make sure they keep getting better.’’

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. Staff were trained in the MCA and knew the importance of this legislation and making sure people were asked for consent whilst being supported. The management team completed assessments and made decisions in people’s best interests if they lacked the full capacity to make decisions themselves. Staff asked for consent before they supported people throughout the day. A person said, ‘‘[Staff] are very polite and always make sure what they are doing is OK.’’ A relative told us, ‘‘We are involved in any and all discussions about [family member] and staff make sure we are doing things in their best interests.’’