Rosewood Lodge & Brook 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 good. At this assessment the rating has remained 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 provider made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them. The service had a process in place to ensure people had their needs assessed before moving into the home. Areas covered included, capacity, finances, health conditions, life history and communication.

The registered manager gave examples of how they responded to people’s changing needs. A professional told us the manager responded to any changing needs and risks “In a prompt, timely and effective manner.”

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 received regular training to make sure their practice was in accordance with up-to-date best practice guidelines and legislation. The registered manager sought advice from relevant professionals to ensure people’s specific needs were being met in line with current guidance and research. One professional told us, “I have found the service to be an excellent quality, I believe that they offer tailor made care that prioritises people’s needs.”

People were involved in choosing and cooking their meals. People commented positively about the food. One person told us, “The food is alright, it’s quite good, you get a choice.” Another person told us, “The food at the moment is fantastic. I make my own lunch. They [staff] do it every now and then.” A visiting professional told us, “The care team have been very proactive in ensuring [name of person] receives a well-balanced, nutritious diet.”

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.

Staff and the management team provided us with examples of how they worked with a range of health and social care professionals to support people’s needs. We received unanimous comments from professionals telling us how well the service worked with them to ensure outcomes for people were positive.

One professional gave us an example of how the registered manager supported a person to transition back to the home. The professional told us, “We were able to work closely with [name of registered manager] and the ward staff to prepare the person for discharge back to Brook House. [Name of registered manager] was able to demonstrate they were able to identify certain risks for the person who was adjusting to coming back to living in the community again.” Another professional commented, “[Name of registered manager] and the team are very good, things always get followed up.”

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.

People were supported to access the healthcare they required. This included appointments with GPs, the mental health team, diabetic nurse, podiatrist, dentist and annual health reviews. One person told us, “Staff help with health and appointments.” A professional told us, “[Name of registered manager] and the staff have a good understanding of which issues need to be directed to the residents’ GPs, and which require specialist secondary care input.”

The provider had a system for recording people’s health appointments and any follow up actions or appointments required.

Staff encouraged people to take part in activities and lead healthier lives. One staff member told us, “We try and make people aware, we can’t stop them [from doing unhealthy things] we can advise.” A professional told us, “They have demonstrated a good understanding of the importance of caring for individual’s physical health.”

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive, and that they met both clinical expectations and the expectations of people themselves. The registered manager gave examples of goals being set resulting in positive outcomes for people. We received many examples from professionals of the staff supporting people to achieve positive outcomes. One visiting professional told us about a person who had been supported to stabilise being at the home, which had, “A valued impact on the person and their family.”

The service told people about their rights around consent and respected these when delivering person-centred care and treatment. People confirmed staff sought their consent, for example, before entering their bedrooms.

People had the capacity to make their own decisions. Some people chose to make unwise decisions, and staff supported them to manage these. One person told us, “There are no restrictions on coming and going.”

Where restrictions were in place, for example a kitchen door being locked or cigarettes being held in the office, this had been discussed with people, and they had consented to this. These agreements were kept under regular review.