Quay Court Care Centre

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 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 service made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them. For example, where people had been assessed as at high risk of falls, they had their care needs assessed prior to moving into Quay Court. People told us and records confirmed that their care was planned and delivered by staff who were well trained and knowledgeable about people's care and support needs. Comments included, “They wanted to know everything about what I was struggling with”, “(Person) had an assessment and we were involved” and “They came to see us at home”.

The service 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 registered manager ensured where people had care needs relating to skin integrity, nutrition and falls, these needs had been assessed using nationally recognised tools. It was evident within people’s care records that people had been involved in these assessments.

The service 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. People's care and support was planned and coordinated when people moved between different services. The service involved people in decisions about their health and encouraged people to make choices, in line with best interest decision-making.

The service supported people to manage their health and wellbeing 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. People were supported to live healthier lives through regular access to health care professionals such as their GP's and physiotherapists. One person told us, "I see the community nurse twice a week”.

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. A visiting healthcare professional described how staff regularly monitored one person’s treatment and gave updates on their care needs, which supported the healthcare professional to ensure the persons outcomes were maximised. They told us “The communication and monitoring that staff do when we are not here supports us with our decision making and treatment options”.

The service told people about their rights around consent and respected these when delivering person-centred care and treatment. People's rights to make their own decisions were respected and people were in control of their support. Care plans contained evidence that consent to care documents had been sought from people, relatives or their legal representatives. Staff understood their responsibilities and the principles of The Mental Capacity Act 2005. One staff member we spoke with told us, “We always deem capacity until proven otherwise”.