Thorndene

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 were assessed prior to them joining the service. Staff understood people’s needs and these were set out in a holistic person-centred care plan. Best practice tools were used to identify people’s needs and assess how people needed to be supported. Peoples consent was secured before staff provided support to people. If people needed assistance to make decision this was provided in line with the Mental Capacity Act 2005 (MCA).

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’s needs were fully assessed before arriving at the service and people’s care records evidenced this. People told us that staff knew how to support them in the way they liked, and how to help them if they needed more support like going to the GP or seeing the OT. People had access to other health professionals, such as the Epilepsy nurse and the osteopath.

Staff knew people well and understood people’s needs and risks. Staff knew how to make the appropriate referrals to health colleagues as needed and were appropriately trained in meeting the health and social care needs of the residents, for example, medication administration and preventing seizure activity.

We requested feedback from health and social care professionals regarding the service. No direct feedback was received. No recent concerns have been raised about the service by and health and social care professionals.

People’s needs were holistically assessed. Assessments were used to develop people’s care plans which were person centred and included information on people’s needs and preferences including equality needs such as sexuality and religion. The service used recognised tools for assessing in relation to constipation and skin integrity, and these assessments were reviewed monthly (or when a change occurred) to ensure they remained appropriate.

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 told us that staff asked for permission before providing people with any guidance or support. People were asked when visitors wanted to come and see them. People told us that their opinion mattered because they were listened to by the staff. People told us staff respected people’s dignity and privacy.

Staff understood the importance of gaining consent knew what mental capacity meant in practice. Staff told us they had all received training regarding mental capacity which was annually refreshed. One staff said, “We chat with [people] all the time; they make their own choices depending on how they feel and what the weather is like…they can change their minds any time, it’s not a problem, this is their home, and we are here to facilitate the best life they can live.”

People’s capacity was assessed as and when appropriate. Where people were able to consent, this had been sought and consent was recorded. Families were involved in their loved one’s care and reviews as appropriate. Where people needed decisions made in their best interests’ their relatives were involved in decision making along with other relevant people. 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.