Chester Court

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 inspection we rated this key question good. At this inspection 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.

Staff at the service made sure people’s care and treatment was effective by assessing and reviewing their health, care, well-being and communication needs with them. A person commented, “They [staff] got loads of information before I moved in.” A staff member told us, “There is a very good assessment process before a person is admitted, to make sure we can meet their needs.” Staff told us there were effective systems in place to assess and monitor people’s needs. This included handover meetings between incoming and outgoing staff on shift, staff meetings and clinical meetings. A staff member commented, “Communication is good. We discuss new residents and any changes in people’s needs at handover.”

Staff at the service made sure people’s care and treatment was effective by assessing and reviewing their health, care, well-being and communication needs with them. A person commented, “They [staff] got loads of information before I moved in.” A staff member told us, “There is a very good assessment process before a person is admitted, to make sure we can meet their needs.” Staff told us there were effective systems in place to assess and monitor people’s needs. This included handover meetings between incoming and outgoing staff on shift, staff meetings and clinical meetings. A staff member commented, “Communication is good. We discuss new residents and any changes in people’s needs at handover.”

Significant improvements had been made since the registered manager was appointed. The service now 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 made timely referrals and worked well with other agencies to ensure people's treatment needs were met. Health care professionals’ comments included, “Since the change of management at Chester Court there has been a vast improvement in the responsiveness of the team. The carers and nurses take on advice given and this is actioned within appropriate time frames, and they will seek early review if they have a clinical query” and “Any recommendations regarding moving and handling has been taken on board and implemented into the person’s care plan.”

Staff supported people to manage their health and well-being to maximise their independence, choice and control. The service supported people to live healthier lives and where possible, reduce their future needs for care and support. Records included specialist advice and guidance, that had been obtained where people had additional support needs, such as, from the speech and language therapist or community nursing team. People and relatives told us they were supported to access health care. Their comments included, “[Name]’s health has improved since they have been here”, “The nurse from the GP comes”, “Staff are responsive and get the doctor quickly” and “I have seen the chiropodist.”

The service 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 plans were personalised to ensure outcomes could be met ensuring people received safe and effective support. There was a system of monthly evaluation of risk assessments and people's care plans. However, we discussed with the registered manager the need for evaluation to be more detailed and include some commentary about the person's well-being over the month. Reviews were carried out regularly to ensure people's support and outcomes were monitored. A relative commented, “We all had a 2-hour meeting with the NHS last week, the care planning was covered in full.”

The service told people about their rights around consent and respected these when delivering person-centred care and treatment. Assessments were carried out around people’s mental capacity, and care records contained all relevant information and were documented in line with guidance. A relative told us, “We are involved and sign off [Name]’ s care plans.”