Georgian 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 71 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The provider made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them. Some external professionals were concerned pre-assessments did not fully consider how people’s needs might impact negatively on people already living at the service. Comments included; “I do wonder how present clients are considered when a new client is admitted” and “Client needs vary so much, it must be hard to manage it all.” The Providers Information Return (PIR) stated, “Importantly we always consider the impact of every new resident on our existing residents and staffing team as a whole.” An external professional acknowledged the service invested a lot of time in completing pre-assessments.

The provider 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. Staff and managers were actively collaborating with stakeholders to explore the possibility of one person moving to a different model of care in line with their wishes.

The provider worked well across teams and services to support people. For example, staff worked with speech and language therapists, mental health services and dentists. A dentist was providing oral health care training for staff. A healthcare professional commented; “Staff have demonstrated person centred values and have been forthcoming with information about restrictions, objections and challenges experienced in delivering care and support.”

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. Some people were reluctant to follow healthy lifestyles. Daily records showed staff continued to encourage people and provide them with meaningful information to help them make informed choices.

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they met any clinical expectations. When any changes in health were identified information was shared with GP’s or other relevant professionals. The registered manager told us how one person needed support to maintain a healthy weight. They were working with the person to identify an approach that would suit them. Some people had goals and aims recorded in care plans. However, when these goals were related to personal development there were no systems for recording people’s progress towards achieving their goals. Staff did not have guidance on how to support people with these goals. An external professional commented; “I have not evidenced myself any care plan around goals or pathways for a client to follow to increase independence.” Managers acknowledged this was an area for improvement.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. Records showed people were asked for consent and were active agents in decision making. Some people did not use words to communicate. Staff used visual prompts such as objects of reference to support meaningful decision making. Staff told us how they respected people’s right to decline care while encouraging them to maintain their well-being. One commented; “We are very respectful of peoples’ choices; it is their home.” An external professional told us; “The staff always ask the client's permission if they would see a health care professional and do not force the issue if the client refuses.”