St Luke's Care Home

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 we rated this key question Requires Improvement. At this assessment the rating has remained Requires Improvement.This meant the effectiveness of people’s care, treatment and support did not always achieve good outcomes or was inconsistent.

This service scored 58 (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 did not always make sure people’s care and treatment were effective because they did not always check and discuss people’s health, care, wellbeing and communication needs with them. We found that effective systems were not always in place to assess, monitor and mitigate risks to people. We identified some people’s needs were not met in respect of management of skin integrity, continence and nutrition and hydration. We found some people’s care plans, and risk assessments were not detailed enough in regard to skin integrity when there was a risk of pressure injury.

The provider did not always plan and deliver people’s care and treatment with them, including what was important and mattered to them. There were not always effective recording and monitoring of people’s nutritional and fluid intake. People’s nutritional needs were communicated to catering staff, for example, those at risk of weight loss or choking. We observed people receiving a balanced diet; however, we received mixed feedback about the quality and choice of food. Comments included “I like salmon or gammon and pineapple, you know, other food than what we get offered” and “The food is ok but not much choice”.

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. We found evidence of referrals to the Speech and Language Team (SALT) for people who required an assessment. There was also a weekly GP clinic where we found evidence the provider had referred people to the GP when weight loss was present.

The provider supported people to manage their health and wellbeing to maximise their independence, choice and control. Staff supported people to live healthier lives and where possible, reduce their future needs for care and support. People had access to resources and health professionals to support improvements to their health and maximise their independence, for example, physiotherapy. People gave positive feedback regarding being supported to live healthier lives.

The provider did not always routinely monitor people’s care and treatment to continuously improve it. They did not always ensure that outcomes were positive and consistent, or that they met both clinical expectations and the expectations of people themselves. Systems and processes were not always effective in ensuring robust oversight and monitoring of people’s health. For example, staff did not complete contemporaneous record keeping in relation to the monitoring of people’s repositioning chart, continence care, food and fluid charts had gaps in records, however we did not find impact to people.

Restrictions in place for people who lacked capacity to consent to their use, mainly had the required mental capacity assessments in place, to ensure the implementation of the restrictions was in line with legislation. However, we found this was not always consistent throughout the service. In addition, some people’s Deprivation of Liberty Safeguards (DoLS) had were pending authorisation. However, these had been submitted by the provider. People told us that staff respected their choices when supporting them.