Pendleton Court Care Home

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• 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 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

We did not look at Assessing needs during this assessment. The score for this quality statement is based on the previous rating for Effective.

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. The provider used a clinical indicator document, to monitor and provide oversight of all clinical areas of care and ensure people’s needs were being met. This included people’s skin integrity, whether they had any infections or experienced unplanned weight loss. Overall, people told us they were happy with the food and choices provided. One person stated, “The food is good you get to choose on the day.” People’s nutritional and hydration needs were being met, which included people who required a modified diet, such as soft or pureed food and thickened fluids. Records of people’s food and fluid intake was being completed. We noted staff were not always recording when drinks were offered, only what people had drunk. This had been identified by the provider and addressed with staff, to ensure records were contemporaneous. Observations of the mealtime experience were positive. Tables were nicely set out, people were offered the opportunity to clean their hands before eating, and staff were attentive to people’s needs. One person asked for and was provided with a glass of wine with their lunch. Staff told us this was non-alcoholic as the person took medication. Staff explained, having wine helped the person to eat their meal, so was encouraged.

We did not look at How staff, teams and services work together during this assessment. The score for this quality statement is based on the previous rating for Effective.

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 were supported to access medical professionals as and when required. Timely referrals were made when any issues were noted, for example to dieticians for weight loss, or tissue viability nurses for skin breakdown. Guidance was available for staff in managing weight loss in the absence of dietician involvement. Monitoring of people’s weight, skin integrity and other clinical areas, was completed through the use of recognised tools such as the Malnutrition Universal Screening Tool and Waterlow pressure area risk assessment, with separate monitoring and oversight completed to identify issues, trends and record actions.

We did not look at Monitoring and improving outcomes during this assessment. The score for this quality statement is based on the previous rating for Effective.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. Staff explained how they sought people’s consent, one told us, “We always knock [on their door] and ask [for consent]. We let them settle first, check if there is any pain. We then ask if we can provide personal care. If they say no, we leave and go back 10 to 15 minutes later and ask again.” People and relatives confirmed staff asked for permission prior to commencing care. We noted signed consent forms within people’s care files. As well as consent to care, these also covered the sharing of information and access to people’s records. Where people had a lasting power of attorney (LPA) in place; this is someone who can legally make certain decisions on their behalf, this information was included in the care plan, along with in what areas the LPA was able to make decisions.