Thorndene Residential 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 good. At this assessment the rating has remained good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

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 by assessing and reviewing their health, care, wellbeing and communication needs with them. People's needs were assessed and care delivered in line with them. People's needs were kept under review. Since our last assessment the management team had devised a family care involvement form to record family involvement in reviews. This was an effective way of recording family involvement in the review process.

The provider did not always plan and deliver people’s care and treatment with them, including what was important and mattered to them. Some people were living with dementia; however, the care environment could be improved by using better signage to help people navigate around the home. While people were verbally asked what meal they preferred, tools such as show plates were not used to support people living with dementia to make a 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. Systems in place supported staff to share important information about people’s care. This enabled a consistent approach when passing on information between appropriate staff and professionals.

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. We saw people were referred to healthcare professionals as and when required and care plans updated to reflect their advice. The service had links with the local GP practice, who visited weekly, and we saw district nurses visited the home. One relative said, “They [staff] call us if [family member] ever needs a doctor.”

The provider 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's outcomes and goals were included throughout their care plans. For example, 1 person required their lunch experience to be unhurried to ensure they received a good diet. Another person liked to be actively involved in their personal care and specific guidance to staff was included as part of their care plan.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. The service was working in line with the principles of the Mental Capacity Act 2005. There was evidence to demonstrate people had been involved in decisions about their care. Where people lacked capacity to consent, decisions had been made in people’s best interests. For example, best interest decisions had been considered or the least restrictive options explored. The management team had oversight of Deprivation of Liberty Safeguards (DoLS), or any conditions attached to them. One staff member said, “When relating to residents I get them involved in care, I tell them what I am going to do and make sure they consent, check their body language. We are trained on how to involve the resident in their care and check any concerns.”