Chartwell Manor 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

People who lived at Chartwell Manor Care Home experienced a good standard of physical and mental well-being, as their needs were assessed. Their care, support and treatment reflected their needs and any protected equality characteristics. The care home staff worked well with external healthcare professionals to promote a healthy lifestyle.

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 told us they and their families were involved in the assessment of needs, and support was provided where needed to maximise their involvement. People were confident their individual needs had been appropriately assessed and were fully understood. People’s communication needs were assessed and met, to maximise the effectiveness of their care and treatment.

Staff were involved in assessing the needs of people. Information about people was shared across team members. Staff told us communication was “good”.

Care plan records had been kept updated as people’s needs changed. This included records of weight and screening for risks, such as malnutrition. Fluid intake charts were in place, where required, and were monitored. Arrangements were in place where people had specialist needs, such as dietary requirements related to coeliac disease.

People told us they received care and support that was co-ordinated, and everyone worked well together. One person told us about how the home worked effectively with external healthcare professionals.

Staff had the opportunity to keep up to date with best practice guidance and competencies. For instance, registered nurses had training in suctioning and the use of a syringe driver. This ensured people received appropriate care by staff with the skills to ensure this was done safely.

The service worked in partnership with the GP surgery and other community healthcare professionals. We saw records of people being referred to a range of professionals, including dietitians, specialist nurses (for specific conditions) and the falls team.

People and their relatives told us the care home worked well with other services. Comments included “The care home was very good at telling Social Services about (family member’s) needs…the home shared (family member’s) health needs with the local GP.”

Staff told us they had positive collaborations with other healthcare professionals. One member of staff told us the GP practice was “Very good, very helpful.”

Feedback from healthcare professionals showed the home communicated with them in a timely manner and staff were able to provide clear and accurate information when required.

Information was shared within the home to make sure people’s needs were met. Changes to people’s circumstances and ways to improve care were discussed in handovers and other meetings. For example, recent staff meeting minutes included reminders for all staff to make sure fluids were recorded and call bells were within people’s reach, no matter what the staff member’s role.

We observed and people told us they had the opportunity to join exercise sessions to maintain their level of mobility and health. Relatives told us their family members’ health had improved since moving into the home. One relative told us their family member was “More than ever happy, comfortable and her eyes are so much better now, she can see.”

Staff and leaders told us they promoted people’s health and supported them to keep healthy. People were encouraged to maintain good hydration and food intake. People who required modified diets were provided with them. Staff were knowledgeable about people’s dietary requirements.

Clinical meetings took place to share and discuss people’s needs and any concerns about their health and well-being. There were records of when people had received visits from healthcare professionals, such as the GP, and the outcomes of these. The records also showed staff had contacted other agencies for advice and to pass on concerns whenever these arose. Staff received training on specific conditions including dementia awareness and learning disabilities and autism.

People were positive about their care and support. They told us they had opportunities to do things that mattered to them, such as individual activities. One person took pride in telling us about their hobby and what equipment they had gifted to the home, which they told us had benefitted everyone.

Staff and leaders took a proactive approach to supporting people to achieve better outcomes.

The provider and registered manager had systems in place to support people. There was emphasis on continuously monitoring people’s care to ensure better outcomes for them.

People and their relatives told us they were involved in decisions about their care. Comments included, “Yes, they ask for permission first before helping. They ask ‘Is it alright’ or ‘Can we do?’” and “Normally, the carers ask her for permission or otherwise she would say no.” A relative told us, “I was involved with the care plan. I have told them what he likes to do and we discussed what his needs are.”

Staff and leaders were aware of the need to support people to be involved in decisions about their care. Staff had received training in the Mental Capacity Act (2005) and were able to put that into practice.

Care plans were reviewed regularly to ensure any gaps relating to people’s ability to consent to care was identified and rectified. Where people lacked mental capacity, a record was kept of who held Power of Attorney (PoA) and what for. The registered manager was able to show validated copies of PoA documents, to confirm who had legal authority to act on people’s behalf. Best interest decisions were recorded at the service. Some improvement was needed to ensure it was consistently clear how the decision about the person’s best interests was reached, what the reasons for reaching the decision were, who was consulted to help work out best interests and what particular factors were taken into account. Discussion took place with the registered manager regarding good practice in ensuring people’s resuscitation wishes were reviewed when they moved between different services, for example, from being in hospital.