Regents Court Care Home

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• 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. We assessed a total of 5 quality statements from this key question. We have combined the scores for these areas with scores based on the rating from the last inspection, which was inadequate. At this assessment significant improvements were found and the provider was no longer in breach of the regulations and this key question has changed to good. This meant people's outcomes were consistently good, and people's feedback confirmed this. People had the best possible outcomes because their needs were assessed. People’s care, support and treatment reflected their needs and any protected equality characteristics. The provider worked well with other services to ensure people remained at the centre of their care. The registered manager and provider had driven a culture of improvement, by exploring best practice. However, we did signpost the registered manager to further information where people required a textured modified diet. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service did support this practice.

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, their family and where required their advocates were involved in the planning of people’s care. Relatives confirmed they were involved in this process and felt listened to by the staff.

Staff told us the new electronic records system meant it was clearer and easier to understand people’s individual needs.

The registered manager told us that the previous care records were not accurate or up to date. As the new electronic system had been brought in, they had used this opportunity to start people’s records again, involving people, health and social care professionals, relatives and advocates, to ensure they were up to date, while also considering relevant health concerns.

Improvements had been made to people’s experience of the care and treatment they received from the staff.

One staff member told us, “I think that people are able to have a second breakfast is positive, as sometimes people will say no when first approached but the smell of the food can entice them and they will then have some at second breakfast time (usually around 10am). Also found this is a good way to encourage people to eat more (little and often) which has helped with weight gain for people who needed it.” Staff told us the training and support had improved. A new staff member told us they had an induction period before they began supporting people. Staff had received practical training from external sources such as manual handling. Online training also took place for other areas, such as safeguarding and infection prevention and control. Staff told us the safeguarding training had given them confidence to know the reason as to why they need to record what they see and notify the management team, for example, where a person has an unexplained bruise. We signposted the registered manager to strengthen their record keeping for those on textured modified diets to ensure this was recorded accurately. We also signposted the registered manager to further their understanding in meal preparation for people who required textured modified diets.

Records held details of important information about health and social care professionals who would be involved in people's care.

Relatives told us that staff were prompt to arrange appropriate support for their family member. One relative said, “They’ve organised the dentist and new glasses quickly.”

The registered manager told us they had worked had to form positive working relationships with external healthcare professionals, and this was going well now.

A visiting professional was positive about how staff worked alongside them to ensure people had the best health outcomes.

The registered manager had ensured improvements to people’s records, including details and correspondence from health and social care professionals who would be involved in people's care. External health and social care professionals now had up to date information available to them. The new electronic care record system had improved access for staff, for example, staff had handheld devices so they could complete the records in real time.

People appeared to be well cared for, one person told us how they had prompt dental care after an incident and was happy with the service. Relatives also felt their family members were better cared for. Since new [registered] manager has been here it’s been wonderful, they go out now and activities are so much better.”

Staff shared examples of how they supported people to live healthier lives, for example, eating home cooked food and going out for walks and social occasions.

The registered manager had systems in place to ensure people had access to health and social care services as and when they needed them. The registered manager talked of an example where they had brought in translators to help support a person whose first language was not English, so records could be written for staff detailing the person’s preferences.

People experienced good outcomes because of the support provided to them. Staff told us standards of care were good, which led to positive outcomes for people.

The management team monitored people's care support as well as any specific health care needs, such as diabetes or weight loss. Care plans were reviewed and updated whenever there were any changes in a person’s care needs.

At the last inspection the provider had not been working in line with the principles of the MCA. At this assessment we found the provider was working in line with the principles of the MCA. People felt staff respected their wishes and listened to them. We heard staff seeking consent prior to providing support. Relatives told us they were involved in certain decisions in line with people's best interests.

Staff had a good understanding of people’s individual capacity to make decisions about their care and support. Staff had worked hard since our last inspection to promote and respect people's choices.

Records showed multi-disciplinary teams had been contacted and involved in this aspect of people's care. The registered manager had improved the processes for assessing and recording capacity.