Eversleigh Care Centre

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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

Our rating for this question remains good. People received support to manage their health and the staff team worked in partnership with healthcare professionals to meet people’s health needs. People were asked for their consent before care and support was provided, and where necessary people’s capacity to make decisions about their care was assessed and recorded. The scores for this area have been combined with scores based on the rating from the last inspection.

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.

We did not look at Assessing needs during this assessment. The score for this quality statement is based on the previous rating for Effective.

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.

People told us staff supported them to manage their health. One person said, “They [staff] look after my health very well. They give me medicine for it and do blood tests to check and monitor my blood pressure as well."

Staff told us they had weekly contact with the health care professionals who gave them guidance about how to support people’s health needs. Leaders described how they worked with local health care professionals and told us they felt supported with both planned health care and more urgent advice where people’s health had deteriorated.

There were systems in place to monitor people’s health. People’s needs were regularly reviewed and referrals made to external healthcare professionals where required. Daily meetings held included discussions around people’s health and changing needs. Concerns were escalated where GP or hospital consultation was required.

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 they were asked for their consent before care was provided. One person said, “I choose what I wear and what I eat, when I go to bed and when I get up. I make all my own decisions about my care."

Staff told us they asked people for their agreement before providing care and support. Staff shared examples of where people had declined support, they had given people time and space and returned to them later in day to see if they made a different choice. The management team explained that people’s capacity was assessed in accordance with the Mental Capacity Act (MCA) and assessments were stored within people’s care plans, so staff could refer to them when providing care.

Records reflected MCA assessments had been undertaken to consider people’s capacity to make decisions about their care. Care plans contained information about where decisions were being made in people’s best interests, and the reasons for this.