Regal Court Limited

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 had carried out initial assessments of people’s health and social care needs. People and their relatives told us, they were involved in the initial assessment of needs, but have no access to these care records. People were not supported in line with the MCA principles. People told us their verbal consent was sought by staff prior to delivering support to them. People were supported to maintain good health. However, people and their relatives gave us a mixed feedback.

This service scored 25 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

People and their relatives told us, they were involved in the initial assessment of needs, but have no access to these care records.

The registered manager had carried out initial assessments of people’s health and social care needs, to enable them to receive support, care or treatment that had the best possible outcomes. These included information received from health and social care professionals and the commissioners about their needs and preferences and how they would like to be supported. Assessments of people’s care and treatment considered their health, care, wellbeing, and communication needs, to enable them to receive appropriate care and treatment and which reflected relevant changes in their needs.

People and their relatives told us, the registered manager engaged well with them.

Staff were aware of people’s health and social care needs including their choices and preferences and daily routine. Staff supported people indoors and when they went into the community in line with their care and support plan.

Assessments and care plans considered and documented people's health and well-being needs to enable them to receive care and or treatment that has the best possible outcomes. Assessments and care plans were up-to-date and reflective of people's needs including their activities of daily living and associated risks to ensure staff provided them with safe and appropriate care.

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 received a mixed response from people and their relatives. One person told us, “Staff help me with booking the GP appointment and come with me.” Whereas a relative said, they are worried that suddenly their loved one had some health concerns.

Staff told us they would notify the registered manager if people’s needs changed and if they required the input of a healthcare professional, such as a GP appointment and dentist.

People were supported to maintain good health. People’s health needs were recorded in their care plans along with any support required from staff in relation to these needs. The provider had worked with local healthcare professionals including GPs, dentist, optometrist, community learning disability team and mental health crisis team. People’s care records included evidence of regular contact with health care professionals. Records were made of individual health care appointments, the reason for the visit, the outcome and any recommendations. Information was available and shared with other health care services such as hospitals when this was required. For example, people had hospital passports which outlined their health needs for professionals.

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 their verbal consent was sought by staff prior to delivering care and support to them.

The registered manager told us people required full support to access the community, attend to their healthcare appointments, medicines management, consent to medical treatment, to manage tenancy and their finances. A member of staff said, “I seek for their permission before I do things for them.”

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 Act 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. When people receive care and treatment in their own homes an application must be made to the Court of Protection for them to authorise people to be deprived of their liberty. People were not supported in line with the MCA principles. The best interests’ decisions for a person who lacked capacity were not carried out. No records were available to demonstrate how decisions had been arrived at and who participated in the decision-making process that impact the safety and well-being of people with a learning disability and/or autistic people. We found no evidence that people had been harmed however, systems were either not in place or robust enough to ensure consent to care and treatment was effectively managed.