Ormesby 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 as good. At this assessment the rating has remained as 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.

The provider generally planned and delivered people’s care and treatment in line with their individual needs, preferences and wishes. However, some risk assessment documentation did not always reflect current evidence based guidance to support the consistent management of identified risks.

Care records and associated risk assessments did not always fully reflect current good practice guidance or contain all information to support consistent care. For example, a risk assessment relating to excessive water consumption did not clearly record the maximum daily fluid intake recommended by healthcare professionals.

Staff monitored people’s bowel health and routinely discussed whether people had opened their bowels during handovers. However, records did not consistently capture the type or characteristics of bowel movements. This meant the provider could not always demonstrate effective oversight of bowel health or identify emerging concerns, such as constipation.

Leaders acknowledged areas where care plans could be strengthened and sought advice from relevant healthcare professionals to ensure guidance reflected current best practice. They reviewed records to include additional information.

Despite these concerns, we found examples of evidence-based guidance being incorporated into care plans. For example, people living with diabetes had clear protocols in place for blood glucose monitoring and responding to high or low readings. People with epilepsy had detailed seizure management plans which included guidance on the administration of rescue medicines. Staff demonstrated a good understanding of these procedures.

People’s nutrition and hydration needs were generally considered and there was evidence that specialist advice had been sought when required. Staff understood people’s individual dietary requirements and people received support in line with their accessed needs.

We did not look at How staff, teams and services work together during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at Supporting people to live healthier lives during this assessment. The score for this quality statement is based on the previous rating for Effective.

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 both clinical expectations and the expectations of people themselves.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment.