Toray Pines 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.

This is the first assessment for this newly registered service. This key question has been rated 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 provider made sure people’s care and treatment was effective by assessing and reviewing their health, care, well-being and communication needs with them.

Relatives told us people’s needs had been assessed. One person said, “Yes they did [an assessment]. We had 2 separate meetings.” People’s needs were assessed when they moved into the home, and staff gathered information from hospital discharge notes, GPs and other professionals so they had a clear understanding of each person’s health and support requirements. Handovers were in place at every shift change, which meant staff coming on duty had all the information they needed to care for people safely. These systems were supported by the home’s daily oversight processes, which helped staff keep assessments up to date so care continued to reflect each person’s current needs.

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 delivered care in line with evidence based guidance and were aware of each person’s dietary needs, including providing modified diets such as minced and moist or thickened fluids in accordance with people’s assessed requirements. The home also supported ongoing improvements in dementia care, and staff received additional support from external specialists to strengthen their approach to communicating with people living with dementia. Regular reviews, including nutrition meetings and daily clinical oversight checks, helped ensure people’s care remained aligned with best practice and reflected any changes in their needs.

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.

Staff teams and external professionals worked well together to support people’s health needs. There was good joint working between the home and community nurses, including planning pain relief before dressing changes so people were more comfortable. The home also took part in regular Enhanced Care Home rounds on Wednesday mornings with GPs and nurses, which helped ensure people received timely medical input. In addition, staff worked closely with district nurses where shared care was needed, for example reviewing pressure care arrangements after concerns were raised about the progression of a pressure wound. This collaborative approach helped ensure people received coordinated and consistent care.

The provider supported people to manage their health and well-being 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.

Relatives told us how their loved ones took part in activities. One relative said, “They have some brilliant activities and [Name] loves dancing.” Another one commented, “There is a lot planned. I think [Name] has played chess there.”

The service supported people to live healthier lives by helping them stay active and engaged; for example, balloon badminton was taking place during the visit. Staff supported people living with diabetes to make healthy food choices, and people were encouraged to attend routine health monitoring through regular GP and community nurse input. Activity planning and nutrition meetings also helped staff review how well people were eating and staying active, and adjustments were made when needed to improve people’s wellbeing.

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.

The registered manager took action when staff had not received the right training or support for delegated tasks, and this helped improve outcomes for people. The home also used a range of monitoring tools to check the quality of care, such as daily clinical oversight reports, weekly call bell audits to review responsiveness, and monthly quality audits that looked at areas including weight management, incidents, near misses and infection control. When concerns were identified, such as issues with pressure care or medicines practice, the registered manager investigated and made changes to prevent them happening again. The service also used the organisation wide governance pathway, which brought together daily, weekly- and monthly checks to track progress and ensure improvements were sustained.

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

Care plans recorded people’s ability to make their own decisions and showed where a little extra support helped them make informed choices. When people had capacity and made decisions that differed from healthcare advice, staff respected these decisions and supported them to do so. Where people had restrictions they could not consent to, Mental Capacity Act (MCA) assessments and best -interest decisions had been completed, and guidance was in place for situations such as covert medicines to ensure decisions were lawful and person -centred.