Santa Care

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

People had care and support plans that were personalised and reflected their needs and included physical and mental health needs. People, those important to them and staff reviewed plans regularly together. Staff knew about people’s mental capacity to make decisions through verbal or non-verbal means, and this was well documented.

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.

People using the service were involved in their care plans. Care plans outlined the people’s support needs which reflected their likes and preferences. People had meetings with staff on a regular basis. Their views were recorded and acted upon by staff. For example, people helped to plan the menu for the coming month. Staff would then plan shopping trips with people to purchase food items. This meant people were listened to and their wishes were acted upon by staff.

Staff and leaders told us that people had their care needs assessed before moving into the home. There was a period of transition that took place, this enabled the person to become familiar with the home and meet the other people living in the home. Staff said it is important to get to know the person and then make sure they can meet their needs.

The provider had a clear process in place to assess people’s care needs. Needs were assessed before the person moved into the home. This meant the provider could be sure they would be able to meet the person's needs. The initial assessment was followed by a transition period which included several visits by the person to the home so they became familiar with it and met everyone who lived at the home. The registered manager told us they would try to match staff with people to make the transition easier. Also, this helped for example if the person spoke other languages. The person would then have a profile with key information for staff to read. A support plan would be compiled outlining all care needs and what support would be required. This helped to ensure staff had the necessary guidance to support the person once they moved into the home.

We did not look at Delivering evidence-based care and treatment during this assessment. The score for this quality statement is based on the previous rating for Effective.

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.

We did not look at Supporting people to live healthier lives during this assessment. The score for this quality statement is based on the previous rating for Effective.

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.

People’s care and support plans contained information about consent. People or their representatives had signed these forms. People’s right to refuse support was understood and respected by staff.

Staff and leaders told us they made sure they asked people for consent before supporting the person with care. Staff were able to explain the principles of the Mental Capacity Act. This meant in some cases staff would make a best interest decision on behalf of a person, if they lacked capacity. During our visit we observed staff asking people for permission before offering support. A staff member, told us, “We have consent in people’s files and daily, like asking if they are ready to take their medicine or to have personal care, stuff like that. Would they [people] like help to tidy their room go out and about or do an activity, we always ask people if they want to do it.” The registered manager told us, “We ask for verbal consent before we support anyone with anything. Consent is recorded in resident's files, families also get involved and some are the power of attorney, (POA). People can consent to things. We try to make our care plans accessible and in different languages if needed and with pictures.”

The provider had a process in place to obtain consent from people. Care records documented if people had the mental capacity to make specific decisions and how best to support them. The provider was working within the principles of the MCA. There were policies and procedures in place which gave guidance for staff to follow if needed.