Blenheim Court Care Home

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

The new management team were aware of improvements required. Care plans were being improved and showed people were involved. People’s care plans reflected their physical, mental, emotional and social needs This included any protected characteristics under the Equality Act 2010. However, we found staff did not always document care and support delivered to ensure needs could be effectively reviewed, monitored, and evaluated. Relatives told us they were actively involved in their family member's care planning. Where people were assessed as lacking capacity to make a particular decision, the provider followed best interest processes to protect people's rights. People had been referred to other health professionals as required such as the district nursing service.

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.

People and relatives told us they were involved in the assessment of their needs. The management team were aware of improvements required. Care plans were being improved and showed people were involved. A communication care plan was completed for each person. This helped to identify how to provide information to the person so it was accessible and tailored to meet their needs.

Staff assessed people's needs using a range of assessment tools to ensure their needs were reflected and understood. The care plans were being improved by the manager and support manager.

People had a comprehensive assessment of their needs, which included consideration of their clinical need, mental health, physical health, wellbeing, nutrition and hydration needs. However, we found staff did not always document care and support delivered to ensure needs could be effectively reviewed, monitored, and evaluated. For example, in care plans for people at risk of developing pressure ulcers they detailed the need for regular position changes, when we looked at the care plans the position changes were not always documented, therefore, it was not possible to evidence people’s needs were met.

Nutrition and hydration needs were assessed and detailed in plans of care, however, these were not always met. For example, we found a number of people had lost weight, yet it was not clear if nutritional supplements or snacks were offered or given as these were not documented. Therefore, it was not clear that the plans of care were followed. Clinical reviews were carried out and the GP visited regularly, they were in the home on the day of our visit and staff were ensuring they were following up where necessary. We observed lunch being served, the experience for people could have been improved. There was very limited seating at tables and people were not encouraged to come to the table and were left sat in lounge chairs. People sat waiting a long time for food to be served and some had fallen asleep while waiting. There was little or no conversation between staff and people. The meal served was not what was displayed on the menu board. The new management team reviewed this following our visit and sent us an update on improvements made. However, the improvements required embedding into practice to ensure people experienced positive outcomes.

Nutrition and hydration needs were assessed and detailed in plans of care, staff were aware of the people who needed a specialised diet and/or soft diet to ensure their needs were met. The management team told us staff made referrals to ensure people’s health needs were met. We saw this reflected in people's care plans.

The new management team informed us that people's preferences and dietary needs were accommodated. We saw In people's care records there was evidence of involvement from other health care professionals where required, and staff made referrals to ensure people’s health needs were met. We found people did not always receive positive outcomes. This had been identifed by the stsaff and new systems were being implemented, which required embedding into practice.

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.

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