North Downs Villa

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

We assessed all 6 quality statements from this key question. Based on the findings of this assessment, our rating for this key question has improved to good. We found the provider had met the breach of regulation we found at the last inspection around treating people with dignity and respect. People's dependency needs were assessed which staff used to develop care plans. Staff worked together to deliver and meet people’s needs and wishes in line with legislation and current evidence-based good practice and standards. People were supported to stay healthy and well. People were supported to have choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests. The care and support people received was routinely monitored.

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 participated in any updates to their care plans. No new people had moved into the service.

Staff told us they were involved in reviewing and updating care plans as necessary.

Care plans included details of people's assessed needs and how staff could support people in these areas.

People told us they received input and support from health and social care professionals. This included assessments and support guidelines,

Where required, staff made referrals to healthcare professionals who undertook assessments of people’s specific needs.

The involvement of health and social care professionals was reflected in care records. Their evidence-based knowledge was used in assessments and reflected in care plans.

People told us that staff supported them to meet their needs.

The staff team had reduced in size since the last inspection due to fewer people using the service. The staff that remained worked collaboratively to meet people’s needs.

The service worked with other providers and health and social care professionals to support people to transition to new services.

The registered manager delegated tasks to staff and arranged regular team meetings to discuss people’s care and support.

Healthy eating was promoted and people who chose to, were supported to attend the gym and exercise.

Staff told us that they promoted healthy eating and supported people to go to the gym, if they wanted to.

The registered manager made referrals to health and social care professionals to assess people’s.

People participated in their care plan reviews. These included reviewing people needs and experiences and developing plans for the future.

The registered manager and staff reviewed people’s needs and plans, and supported them to develop new objectives.

Care records stated people’s needs and goals. The registered manager had a plan and timeframe for reviewing these to ensure that improvements were planned and made.

People told us that staff provided care and support with their consent.

The registered manager explained to us how people were supported in accordance with the principles of the Mental Capacity Act 2005. Care records showed that where restrictions were required to keep people safe, these were lawful and regularly reviewed by health and social care professionals.

At our last inspection we found there was a restrictive environment at the service. People could not access areas such as the kitchen and laundry room because they were locked to them. This was a breach of regulation 10 (Dignity and respect) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. At this inspection we found people had unrestricted access to all the communal and shared spaces within the care home. This meant the provider was no longer in breach of regulation 10.