Archived: The Borrins 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 changed to 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.

A relative told us: “[Relative] needs to be hoisted between bed, wheelchair and lounge chair, and is always able to be where they want to be. The physical care is very demanding on staff, but they manage it brilliantly.

The provider made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them.

Care and support plans were updated regularly, with handover notes indicating that they had been followed. Observations of people living in the service were conducted while reviewing the care plans to confirm that they were being followed. Interactions with people were logged by staff to monitor nutritional intake as well as other activities as outlined in care plans.

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.

Care and support plans and records demonstrated a good level of personalisation; evidenced through interviews with relatives who gave examples of care being organised well, involving and informing them appropriately. Pre-admission discussions and assessments were held with people and their relatives to give assurance that moving to the service was appropriate.

Although not all people living at the service could recall being involved in developing care plans in a formal process, people indicated that they were asked about their preferences on an ongoing basis.

Care plans included detailed medical and social care histories of people, with evidence provided by relevant and appropriate partner organisations. The service ensured that people’s care was well evidenced and recorded – not provided in isolation

The provider worked well across teams and services to support people. They shared thorough assessments of people’s needs when they moved between different services, so people only needed to tell their story once.

A particular strength at the service was how their care was delivered in partnership with other professionals including a visiting dentist, GP service and other community services. Building a good relationship with the dentist was mentioned by people living at the service, relatives and staff as a positive step. This meant any emerging dental issues were dealt with quickly, minimising pain but also that check-ups enabled prevention of future problems. Relatives felt confident having their loved ones at the service, knowing they would be informed of any physical or mental health problems, and the team would proactively support people to maximise their comfort and wellbeing.

A relative told us: “Admission happened extremely quickly but right from the start the management and care staff have shown such responsive listening to [relative’s] needs, and indeed my own. They have continued to give lots of time and understanding, I call it emotional intelligence. The assessment for setting the care plan went on for hours, they wanted to know the slightest thing about preferences. Since being at the Borrins [relative’s] health has improved, where previously [relative] was going backwards. I get told of any health concern, even if [relative] is just having an off day.”

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.

The service served appetising and nutritious meals, tailored to support those with specific needs but also providing choice. Due to the cohort living at the service, careful monitoring of weights was conducted as well as timely and accurate recording of food and drink taken. Weights were recorded regularly, and changes made to some people’s care plans accordingly to maintain health.

People were encouraged to be mobile as much as possible, with staff keeping a watchful eye while enabling independence. There was a healthy balance between enabling mobility while minimising the risk of falls.

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.

Care plan records indicated people’s care and treatment was monitored continuously. Care staff were proactive in seeking a diagnosis from the GP service, community nurses or hospital appropriately. Relatives fed back consistently that communication with the service was good, so they felt confident their loved ones were supported consistently.

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

Consent was recorded consistently in care records. Some people living at the service could not always recall discussions around consent but described it in terms they understood during conversations with the inspection team. Capacity assessments were in place for all people living at the service; recorded as having been conducted during the admission process prior to arrival or at times when changes indicated the need to review these.

The residents’ information pack in all rooms and available for relatives was comprehensive, included consent, the complaints process and who to contact in a range of possible circumstances, including partner organisations and CQC. It was clear people’s rights were being promoted, if not always fully understood by people living at the service.