Admirals Reach 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

The registered manager worked in partnership with other organisations to support people's needs. People's nutritional and healthcare needs were met. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported 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's needs were assessed before they moved into the home. The assessment helped the senior team assess and determine if the person's needs could be met and if the environment was suitable for them. The registered manager told us, “I believe assessments should be robust and ensure people and relatives have the opportunity to view the home before they are admitted.”

Senior staff regularly reviewed care plans to make sure care was reflective of current needs. A person told us, “Only been here a week so far, they look after you, it is secure, and you are locked in. It is peaceful, the staff are lovely, and everyone is always asking if you are all right, I am enjoying my stay here.”

People's health and wellbeing was monitored so that they could receive the appropriate care and treatment they needed. There was evidence of input from members of multidisciplinary teams or external health professionals including GPs, SALT teams, dietitians and physiotherapists. A person told us, “If I want the doctor, I just tell the staff, chiropodist comes, they cut my finger nails.” A relative said, “[Person] has a urology problem and goes regularly to the hospital, there is good communication.”

People told us staff supported them to access other health services when this was required. A person told us, “The past fortnight someone came to assess me to sit in a wheelchair and I was measured up, I would like to be able to sit out in my armchair and do some cross stitch.”

People's health and wellbeing was monitored so that they could receive the appropriate care and treatment when needed. There was evidence of input from a variety of health and social care professionals. A professional told us, “I am really impressed. They are following IDDSI guidance. All recommendations are being adhered to. I spoke with [staff member], and they were very aware of resident needs and their diets.”

People's care was assessed using nationally recognised tools and staff used monitoring forms to monitor people’s care and support. One person told us they were admitted in a very bad way physically and mentally. They said the Home Manager has been great and through determination and the support of the staff, they had progressed immensely. They can now walk a little bit, feel better mentally, and generally praised the Home. They were very happy with their care.

Effective monitoring processes were in place to monitor and improve outcomes for people in relation to their care and treatment. These included daily flash meetings and clinical risk meetings.

People told us they received a choice about their care and treatment. A person told us, “Food is alright, if I want the doctor, I just tell the staff, chiropodist comes, they cut my fingernails” A relative said, “I would recommend this place to anyone. The staff are so caring, [family member] is loved, we feel. They're so kind to [person], we see that all the time, they can always choose what they eat from a good choice. [Family member]is getting all fluids each day.

The Mental Capacity Act 2005 (MCA) provides a legal framework for making particular decisions on behalf of people who may lack the mental capacity to do so for themselves. The MCA requires that, as far as possible, people make their own decisions and are helped to do so when needed. When they lack mental capacity to take particular decisions, any made on their behalf must be in their best interests and as least restrictive as possible. People can only be deprived of their liberty to receive care and treatment when this is in their best interests and legally authorised under the MCA. In care homes, and some hospitals, this is usually through MCA application procedures called the Deprivation of Liberty Safeguards (DoLS). We found the service was working within the principles of the MCA and if needed, appropriate legal authorisations were in place to deprive a person of their liberty. Any conditions related to DoLS authorisations were being met.