Ann Challis

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 inspection we rated this key question requires improvement. At this inspection the rating has changed to 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’s care plans and support reflected their needs. Staff understood people’s individual needs and made sure assessments were up to date. Relatives said they had been involved in agreeing people's initial care plans.

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. For example, the décor of the home met the needs of people living with dementia. People’s dietary needs were known. People told us they enjoyed the meals and always had a choice. Staff ensured people had enough to eat and drink.

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. Staff said they worked well together as a team and with other professionals. They said communication with colleagues, professionals and with the management team was good. The electronic care planning system was used to highlight any changes in people’s needs. Daily handovers ensured all staff knew of any changes in people’s support and wellbeing needs.

The service supported people to manage their health and wellbeing to maximise their independence, choice and control. The service supported people to live healthier lives and where possible, reduce their future needs for care and support. The home worked well with medical professionals. A medical professional said, “When I come there’s always staff available to give a rundown of the issues; staff know all the residents very well.” We were told staff followed any guidance provided and made appropriate referrals so prompt treatment and support could be provided.

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. For example, people’s weight and health were monitored and actions taken where risks were identified. A relative said, “[Name] looks so much healthier now than they did at home.”

The service told people about their rights around consent and respected these when delivering person-centred care and treatment. Staff sought people’s consent before providing support. Staff supported and involved people’s families and carers to make best interest decisions where people did not have capacity to do so. A medical professional also told us they were asked to be involved in people’s best interest decisions where appropriate.