Edward House

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 requires improvement. At this assessment 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. Protected characteristics and diverse needs under the Equality Act formed part of this process. Each person had a full and completed assessment in place, which people confirmed that they, and their relatives, were involved in. People spoke positively about their admission to the home and how staff captured their needs and wishes. When asked about the assessment their loved one received on admission, one relative said, “It was thorough.”

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. Assessment of people’s care and risks were supported by use of best practice tools, such as the malnutrition universal screening tool (MUST) to help identify those at risk of malnutrition or those above a healthy weight range. Best practice tools were also used to assess people’s needs around frailty, pressure area support and mental health function.

The service worked well across teams and services to support people. When people received care from a range of different staff, teams or services, it was co-ordinated effectively. Staff had access to the information they needed to appropriately assess, plan and deliver people’s care, treatment and support. Professionals and partners in care said that the management and staff were effective in information sharing and partnership working. Appropriate and timely referrals were made when needed. One professional who worked with the service said, “Edward House communicate well and have contacted me if they required additional support and guidance with new placements.”

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. People were supported to access healthcare partners, including opticians and dentists. Oral health assessments had been completed for people to ensure that they could be supported to maintain good oral health. Appropriate referrals had been made to specialist services when additional health support was identified as being needed. One relative said, “We are always informed of anything concerning our mother from any health issues to things she may need or anything she is concerned about.” People were generally happy with the quality of food at the home. One person said, “It’s fine. It’s nice, fresh food.”

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. Care plans, risk assessments were consistently reviewed and updated to ensure that safety and effective support continued. One professional said, “I did some teaching regarding NEWS scoring and the 'Restore' program, and they have moved to a digital system now that helps them to look at trends of vital signs.” NEWS is a standardised system for recording and assessing baseline observations of people to promote safe and effective clinical care. Restore is a tool to support staff to recognise when a resident may be deteriorating or at risk of physical deterioration.

The service told people about their rights around consent and respected these when delivering person-centred care and treatment. The home had systems and practices in place to ensure that people understood the care and treatment being offered or recommended. This helped them make an informed decision. People were supported in accordance with the Mental Capacity Act (MCA). People’s care detailed their capacity and understanding their rights in making decisions. We observed staff obtaining consent from those they were supporting in terms of choices and preferences. Staff received training on the Mental Capacity Act and understood their responsibilities regarding MCA, and the importance of people being involved and making their own decisions.