Colliers Croft 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 prior to their admission into the service. Any expected outcomes were identified, and care and support were regularly reviewed to help ensure it was relevant to people’s current needs. People’s care plans contained information about people’s communication needs and how staff should best communicate with people to ensure their needs were understood.

The provider planned and delivered people’s care and treatment with them, including what was important and mattered to them, in line with legislation and current evidence-based good practice and standards. People had access to nutritious food and drink and had choice over what they wanted to eat. People told us they enjoyed the food. Comments included, “I am a good cook, and I can honestly say the food is exceptional – the chef is amazing and if you don't like what's on the menu, they will make something else. I asked for corn beef hash yesterday and they made it for me” and “The food here is excellent, there’s a good choice and they are always coming round with drinks.” People could choose to have their meals in their own rooms or in the dining room. We observed people enjoying lunch, the dining experience was not rushed and provided people with an opportunity to get together and socialise. Each floor of the home had a kitchen area, enabling people to independently prepare drinks or snacks if they wished.

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. The provider worked collaboratively across services to better understand and meet people’s needs. The provider used an electronic care recording system, so information could be shared quickly and easily with other external health care 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. The provider made appropriate and timely referrals to relevant professionals to support people in achieving improved health and wellbeing outcomes. We saw examples of referrals being made to SALT (Speech and Language Therapy) team where the provider had recognised people requiring modifications to their diet. The provider enjoyed a good working relationship with the Advanced Nurse Practitioner who visited the home weekly. Due to their knowledge of people’s health care needs, these visits often prevented people being admitted to hospital unnecessarily. Minor investigations and treatments were also carried out within the home, thereby reducing the need for hospital admissions, which could be particularly distressing for some people.

Although we were assured the provider ensured outcomes were positive and consistent, and that they met both clinical expectations and the expectations of people themselves, the provider did not always routinely monitor people’s care and treatment to continuously improve it. We reviewed the care notes for 2 people who had been advised by a dietician to follow a fortified diet and have weekly weight checks. However, their records did not show that fortified diets had been consistently offered/consumed, therefore we could not always be fully assured from people’s records, that people consistently received the nutritional support recommended for them. Despite these gaps in records, staff were able to describe how they responded when people’s health needs changed and how people’s needs were met. A relative confirmed, “[Name] eats well and they monitor his drinks.”

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. Staff empowered people to make decisions about their care, so their human and legal rights were upheld. People told us their rights were respected. We observed staff seeking people’s consent prior to providing care and support. The provider assessed whether people had capacity to make decisions and involved relevant professions when needed. Where people did not have capacity, staff upheld their rights in the least restrictive way possible and referred people for professional assessment at the earliest opportunity.