Seagrave House 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. At our last assessment we rated this key question good. At this assessment the rating has remained good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

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.

The service made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them. People told us they were involved in the assessment of their needs, and in the planning of their care to ensure they received person-centred support. Staff understood people’s individual needs and made sure assessments were up to date and recorded. People’s care needs were reviewed regularly and when required, referrals were made to health professionals such as the district nurse and dietitian for advice and further assessments.

The service 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. People told us there was always a choice of meals provided. A person said, I have a very small appetite, I have to have food pureed, I don’t swallow easily. On the whole they are very good with it.” Staff ensured people had enough to eat and drink. At lunch time, staff were seen to replenish drinks and offered people second helpings. Staff used nationally recognised tools appropriately to assess and monitor people’s needs to identify people at risk of malnutrition. Staff had information about people’s favourite food and how they liked their drinks.

The service 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. People told us they could access health care services as required. A relative said, “Various professionals have a good relationship with the home. I was told District nurses, occupational therapists, doctors are regular visitors and relatives are given the opportunity to participate in decisions. They are always being invited to be present.” A visiting health professional told us, “Staff have good knowledge of every resident. They know when we're due to visit and where to find the resident and will bring their [medication] to the person's room.” Staff told us communication between the staff team was good. The daily handover meetings provided staff with the most up to date information and included new instructions from health professionals.

The service supported people to manage their health and wellbeing to maximise their independence, choice and control. Staff supported people to live healthier lives and where possible, reduce their future needs for care and support. People were seen by healthcare professionals when they needed them. For instance, one person told us they had been referred to a specialist professional for a new health concern. Staff monitored people’s health for changes and signs of deterioration. For example, food and fluid intake and weight loss or gain was monitored which helped to detect early signs of deterioration. A relative told us, “There is a hairdresser and a chiropodist visiting on a regular basis. Nails are trimmed and painted for the ladies.” Staff were aware of the process in place to share information with emergency services in the event of someone requiring hospital treatment.

The service routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they met both clinical expectations and the expectations of people themselves. People’s care needs and risks were regularly reviewed, and action being taken immediately following any changes to people’s health needs. For example, records for fluid taken and urine output for a person with a catheter was monitored to ensure the individual had enough to drink. When staff identified new risks, records showed a referral had been made to health care professionals and any instructions given had been followed.

The service told people about their rights around consent and respected these when delivering person-centred care and treatment. People told us staff sought their consent and respected their wishes. Staff followed the mental capacity act for people who did not have capacity. Management ensured relatives, with the appropriate legal authority had been involved in making best interest decisions for their family member. One person’s records confirmed those who were closest to the person had been involved in the decisions made in the person’s best interest.