Two Rivers Care Home

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• Overview
• Person-centred Care
• Care provision, Integration and continuity
• Providing Information
• Listening to and involving people
• Equity in access
• Equity in experiences and outcomes
• Planning for the future

People were still living limited lives with no attempts to look at people’s ambitions, interests, and dreams. No work from the provider and managers were taking place to up-skill staff about this aspect of people’s care and lives. Staff, managers and the provider still had low expectations for people when it came to what might interest them and support them to live independent lives. Very little was happening to make life fun and interesting for people. When people expressed to staff, they would like to be more independent in some aspects of their lives, staff and managers took no action to support people to achieve this. Blanket daily routines, food options and outings remained. The provider was still not assessing this aspect of people’s care and lives.

This service scored 36 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

People could not tell us about this.

The staff team had not been trained and supported to understand this concept and advocate for people in this way. Staff were aware about how they should respond to a change in health needs but not about people's mental and emotional well being, their independence and ambitions. Blanket routines remained which were group focused. No individual events took place. People's interests were sometimes known by staff, but no work was completed to support people to experience these or develop these interests.

People could not tell us about this.

One member of staff told us how they had come to understand how individuals communicate their feelings and views. But other staff had not nor was this explored in the new care plans the management team had recently produced.

Blanket routines, meals options, events still prevailed at the supported living services. The provider had not ensured people experienced a person centred care experience. The provider was not assessing this aspect of the care their staff and managers were providing to identify if improvements were happening and if not take robust action to correct this.

People could not tell us about this.

Staff had not been supported or trained to consider this aspect of people's care.

The provider had not created a culture or processes where inequality would be considered and challenged. People were not being treated as individuals to explore what was important to them.