Thorndene

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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

The service was effective. People’s needs were holistically assessed prior to them moving into the service and used to develop people’s care plans. Care plans were reviewed and built upon as staff got to know people better and as people’s needs changed. People were supported in line with the Mental Capacity Act (MCA). People’s capacity was assessed where this was appropriate. If people needed support to make decision this support was provided.

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.

Staff knew about people’s needs and preferences. One relative said, “The staff know [my relatives] emotional, social and medical needs very well. If I am ever concerned, for example, I mention this, and the staff always listen and take on board my concerns and act straight away.”

Staff knew people well and understood their needs and preferences. There was a system of keyworkers and co-keyworkers in place to monitor if people’s needs and preferences changed and ensure information was captured. Staff understood people’s sensory needs such as if people liked to be touched or not and where there were objects that were very important to them.

People’s needs were holistically assessed. Assessments were used to develop people’s care plans. Assessments included information on people’s needs and preferences including equality needs such as sexuality and religion. People came to spend time at the service before moving in. They had the opportunity to meet people and the staff. Staff ensured people were comfortable living together and were compatible. The manager told us, “We do observations and listen to what the residents say.”

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

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.

People were allowed the time and space they needed to make decisions for themselves as much as possible. People told us staff listened to their views. One relative said, “[My relative] is supported to make choices and the home are working on ways to do this for the best.”

Staff had an understanding of the Mental Capacity Act (MCA) and its key principles. If people needed support to make a decision this was provided by staff. The manager told us how they worked closely with people’s representatives to ensure care and support was provided in people’s best interest. Staff understood people with capacity had the right to make decisions staff might not agree with.

When people did not have the mental capacity to make decisions around their care and support needs, mental capacity assessments were in place. This process was in line with the principles of the MCA.