Eagle House Residential 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

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. This is the first assessment for this newly registered service. This key question has been rated good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 79 (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. There was a thorough assessment of needs process that took place prior to people being admitted to the service. These included reviews of people’s personal, social and medical history and seeking consent for various aspects of people's care and treatment. Areas assessed included current health and well-being, sexuality and gender preferences, wishes for their future, likes and dislikes. This information was incorporated into care plans and risk assessments to ensure a person-centred approach that understood and was sensitive to any past trauma while promoting independence, choice and control.

People were fully involved in their assessment and had support where they required or requested it from advocates, social workers, family and friends. One person told us, “I am not judged but seen as the person I am.”

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. The managers and staff team worked in partnership with external professionals. This ensured information and approaches were accurate and risks fully understood. Information was used to inform very detailed care records which could be used for analysing what worked and what was not as successful in relation to delivering care and reviewing of people’s medicines. The level of record keeping, detail of daily notes and reviews also meant any changes could be quickly identified and implemented. A professional told us, “Eagle House will offer support to the person for attending outpatient reviews and be involved in any care planning needs that may be identified."

The provider 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. People, staff and professionals all gave positive feedback about how well staff worked with each other and external partners. Without exception, staff told us they enjoyed working together and there was a sense of supporting one another in their job roles to ensure the best possible support for people.

Multiple people spoke of the positive impact the staff approaches had on them including feeling hopeful for their future once more and listened to. One person told us, “The staff are wonderful and do not make me feel ‘different’ not like the other horrid place I was sent. I feel valued and they are investing in me.”

Staff worked proactively to reduce the risk of hospital admissions for people. When a hospital admission was required, staff continued to engage with and visit people to offer reassurance. They worked with external professionals to update and review care plans and risk assessments to enable the person to return to their home in the community. A professional said, “Communication and updates from Eagle house are generally of a good standard and any concerns or updates are liaised by the staff at the care home to ensure people’s needs are met by both the care staff and services we provide."

The provider 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. Staff supported people to identify and understand about healthy lifestyles in terms of diet, mental, physical and social health and well-being and to have regular check-ups with local health professionals such as GP’s, psychiatrists, dentists and opticians. They used formal and informal discussion, group and individual meetings to help people express themselves and learn alternative ways to stay healthy.

Diet was important for a lot of people to support better physical and mental health or due to specific conditions such as diabetes. People were really happy with the choice and availability of food and how individual dietary needs were met. One person told us, “The food is good and cooked on site and there is a daily menu board, but we can ask for an alternative.” Another person said, “With dieting I have to eat low protein and lots of veg and they support that.”

Other people told us how they had improved their physical health by the support staff had given them to change their lifestyles. One person told us, “I had a pressure sore and sepsis and was bedridden when I first came here and look at me now walking with a walker.” Another person said, “I drank quite a lot as I had diabetes but not anymore. I cured it with my diet.”

Relatives told us they thought the support to stay healthy was very good. A relative said, “[My family member] is being very carefully looked after and physically well cared for. They are being well fed, kept clean and looks like a new person since going in there."

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.

People were fully involved in the review process and their views recorded. Staff supported people to aim for their dreams such as becoming a photographer, bricklayer or chef and developed plans to support them to achieve it. They reviewed outcomes at each step and where it had not been at first successful were positive about trying again when the person felt ready or looked at alternative approaches.

The provider always carefully explained to people what their rights around consent were, made sure they fully understood them and always fully respected these when delivering person-centred care and treatment. There was information in various formats available for people to learn about their rights in relation to consenting to care and the Mental Capacity Act 2005 (MCA)

The registered manager actively promoted the use of advocates to support people and ensure their rights were being upheld. Where people lacked mental capacity the registered manager and staff team worked with the person, their relatives, and professionals to make decisions in their best interest. These documents were highly detailed and made it explicitly clear what staff needed to do to fully involve the person in any decisions they may lack the mental capacity to make without support. One person told us, “I am looking to move on and had this mental capacity assessment and I am now waiting on best interest.”

Staff worked with people to set goals to learn about their care and legal conditions imposed on them to hopefully be able to move to less restrictive environments in the future, such as supported living accommodation or to learn to be more self-reliant and require less staff support when their DoLS is next reviewed.