Goldwell Manor 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

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.

This is the first assessment for this service. This key question has been rated outstanding.

This meant people’s outcomes were consistently better than expected compared to similar services. People’s feedback described it as exceptional and distinctive.

This service scored 88 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The provider made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them.

Assessments of people's needs had been carried out prior to people using the service and involved the person and, where appropriate, their relatives and healthcare professionals, to ensure the service was able to meet the person's needs and preferences.

Care plans and risk assessments clearly identified people's needs and risks. They showed the action staff should take to minimise any risk of avoidable harm. Staff told us how information was reviewed and regularly updated. Care plans also contained detailed information about people's choices and preferences. We found detailed information

to guide staff on how to support people with their daily routines and people's daily care records evidenced staff followed this information.

The provider planned and delivered people’s care and treatment with them, including what was important and mattered to them. They did this in line with legislation and current evidence-based good practice and standards.

Staff were passionate about supporting people to achieve positive outcomes. Everyone we spoke to regardless of their role spoke about wanting to provide high quality care to the people who used the service. We found many initiatives in place to support people and their relative’s involvement in care plans and ongoing reviews such as informal coffee mornings, regular phone calls and in person monthly meetings. We found care plans in place detailed important information which linked with current good practice on how to support people with their health conditions. This provided staff with information about the condition and the indicators they needed to be aware of which could be a sign of a person’s health deteriorating. We reviewed people’s care plans and interventions staff had made, these interventions evidenced staff had followed this information and sought medical advice for people when required.

The provider worked well across teams and services to support people. They made sure people only needed to tell their story once by sharing their assessment of needs when people moved between different services.

Every staff member regardless of their role spoke passionately about how they worked with the wider team to provide good quality care. One staff member told us, “We are a solution focused team we all try our very best for the residents.” Another staff member told us, “We make sure everything we do is tailored to the residents, its’ such a great place to work, great team, great residents, great manager.” The registered manager and staff team had linked in with many services to support people. We found arrangements in place to ensure people’s health and medicines were regularly reviewed. We also found the service used a nationally recognised observation tool where they shared their findings with external healthcare professionals to support the management of people’s long-term conditions, this aided the identification of developing issues with an aim to reduce unplanned hospital admissions.

The provider always supported people to manage their health and wellbeing to fully maximise their independence, choice and control. Staff supported people to live healthier lives and where possible, reduce their future needs for care and support.

The service had many initiatives in place to promote and support people with their health and wellbeing. People were supported to access healthcare in line with their individual need and preference. For example, some people had a dentist visit them at the service, whereas other people chose to attend the surgery. The service provided many activities which included, chair-based exercises, gardening, poetry, book clubs. People spoke positively about these activities and told us how they enjoyed not only the activity but the social aspect of meeting up with others. We found people were supported to maintain a balanced diet and staff ensured people’s individual choices and preferences were met. Where people had specific dietary requirements, this information was known and followed by staff. We observed staff working together to ensure mealtimes were enjoyable, people were provided with choice through various means which included the use of menu's, pictures and show plates. The show plates were prepared to provide a visual support to inform people's choice.

The provider monitored all people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they fully met both clinical expectations and the expectations of people themselves.

Staff continuously monitored people’s health conditions where appropriate. Evidence based tools were used to support this practice. Staff took part in daily management meetings where any changes in people's health and wellbeing were discussed, recorded and actioned. Relatives confirmed that staff identified and responded promptly to changes in their family members health. The staff team gave us many examples of how people had achieved positive outcomes whilst using the service. One staff member told us about how a person had been supported to regain their independence and had moved back to their own home. The service had received many cards and letters from people and their relatives, which recognised the positive outcomes that staff had supported people to achieve. The provider with people’s consent recognised and celebrated people’s achievements in the service by sending out a newsletter to highlight people’s successes. Such as one person scoring a hole in one whilst playing adapted golf and another person re-establishing their love of gardening after moving to the service and now being able to access a garden safely.

The provider always carefully explained to people what their rights around consent were, made sure they fully understood them and always fully respected these when delivering person-centred care and treatment.

People had mental capacity assessments and best interest decisions in place when relevant. These had involved people who had the legal authority to do so on behalf of the person where appropriate. We reviewed mental capacity assessments and best interest decisions in place and found they had been completed in line with best practice, they contained details on how information had been provided and adapted to meet people’s their individual needs. This maximised people’s opportunities to make a decision about their care themselves. Staff had received training on the Mental Capacity act 2005 and were knowledgeable on how to support people in line with the act. People confirmed staff supported their decisions. One person told us, “I can get up whenever I want to” and another person told us, “I can do what I want when I want.” The service had made appropriate Deprivation of Liberty Safeguards (DoLS) applications and monitored the progress of the applications, where conditions were in place these were followed and monitored.