Pranam 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

People's needs and choices were assessed and planned for. The staff monitored their wellbeing and updated care plans when needed. Staff worked with other care professionals to make sure people received care in line with best practice. People had consented to their care and treatment.

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 told us they had been asked about their needs and wishes.

The staff explained they regularly reviewed people's care needs. They had a system of 'resident of the day' when they reviewed people's assessed needs and care plans each month. This helped to ensure assessments were accurate and up to date.

The provider undertook thorough assessments of people's needs before they moved to the service. They consulted with the person, their representatives and other health professionals. They used these assessments to develop care plans.

People's nutritional needs were met. They were able to make choices about food and they were provided with a range of options, including cultural, vegetarian and diabetic meal options. People received support with hydration. People told us they liked the food and had enough to eat and drink.

The management team ensured staff had information about good practice guidance and how to provide good quality care. Staff told us they had relevant training and support to understand this.

People's planned care reflected best practice guidance and standards. The staff worked closely with other professionals to assess and plan for people's needs and to monitor these to help ensure people stayed well and healthy.

People told us they were able to see healthcare professionals when they needed. A practitioner nurse visited the service each week and liaised with the GP about people's health conditions and any changes in their wellbeing or health.

External professionals explained that staff worked well with them. They said that staff followed their training and guidance. They told us the staff reported concerns about people's wellbeing and acted on these. One professional commented, ''They really know their residents and when something is not right. They always contact us and ask for advice.'' Another professional said, ''They have a close relationship with [different healthcare teams] and they are very proactive.''

The staff told us they worked well as a team sharing information. The heads of department met each day to discuss the service and any concerns. The management team offered supervision and support. The staff told us communication was good.

The provider had systems to engage with external professionals and to share information within the staff team. We saw clear and accurate records, information sharing and minutes of regular meetings.

People felt supported to stay healthy and make positive lifestyle choices.

Staff told us they had information on various healthcare conditions and were able to understand people's symptoms.

There were clear and detailed care plans relating to individual healthcare conditions, how these affected the person and the care they needed from staff. There was evidence staff monitored people's health and wellbeing.

People using the service and their relatives told us staff regularly checked on them.

Staff explained how they monitored changes in people's wellbeing and health conditions. This included changes in their weight, food or fluid intake, as well as physical and mental health.

Staff completed records of this monitoring and how they cared for people. The provider's electronic care planning system identified any changes and if key targets were not met, for example fluid intake. The system alerted staff for them to respond to this and take appropriate action.

The Mental Capacity Act 2005 (MCA) provides a legal framework for making particular decisions on behalf of people who may lack the mental capacity to do so for themselves. The MCA requires that, as far as possible, people make their own decisions and are helped to do so when needed. When they lack mental capacity to make decisions, any made on their behalf must be in their best interests and as least restrictive as possible. People can only be deprived of their liberty to receive care and treatment when this is in their best interests and legally authorised under the Mental Capacity Act (MCA). In care homes, and some hospitals, this is usually through MCA application procedures called the Deprivation of Liberty Safeguards (DoLS). People told us they were offered choices and able to consent to their care and treatment. They said their choices were respected.

Staff had undertaken training about the MCA and understood the principles of this and how to apply these when caring for people.

The provider had followed the MCA. They had assessed people's capacity and applied for DoLS when needed. They had recorded people's consent. Care plans emphasised that people should be always given choices. The provider monitored when DoLS needed renewing and made sure conditions with these were monitored and met. There was evidence that people's legal representatives and family members were involved in best interest decisions for people who lacked the mental capacity to make these decisions.