Eden Grange

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.

People, and others involved in their care, were involved in the initial assessments of their needs which the registered manager conducted as part of the admission process. People’s choices and preferences had been used to plan their individualised packages of care and support. Staff understood people’s individual needs and how these should be met.

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.

People received personal care and support from staff according to their individually assessed needs and wishes. People told us staff delivered care that meet their needs and wishes and in line with recognised best care practice. One person remarked, “Staff know me well and know exactly what I need and want.” A relative added, “The care my [family member] receives here is excellent.”

Staff told us they followed guidance in care plans when supporting people. This included providing the appropriate level of support in line with guidance in relation to individual needs, including nutrition, moving, and handling. Care plans were comprehensive and detailed covering people’s individual needs and were reviewed and updated regularly. Staff were supported through training and supervision to deliver care and support in line with legislation, good practice and standards. Managers also conducted regular monitoring checks on staff’s working practices. Staff worked closely with multiple, community-based health and social care professionals and followed the advice and guidance they provided them.

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.

Systems were in place to ensure information was shared in a timely manner by everyone involved in People’s care. Regular information sharing meetings and handovers took place between leaders and staff, and staff escalated concerns promptly to nurses or managers when needed. Staff maintained close links with external health and social care professionals and agencies when needed. Clinical staff reported having good working relationships with domiciliary teams, for example specialist clinical nurses such as tissue viability and end-of-life care teams to support overall patient experience.

The provider 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.

Staff demonstrated a good understanding of how to identify when people’s health was deteriorating or were showing signs of being unwell, in pain, or developing an infection. They [staff] supported people to access timely healthcare intervention when needed. People were supported to attend routine healthcare appointments and receive regular screenings and health checks from community-based professionals including GPs, specialist nurses, speech and language therapists and physiotherapists.

People’s emotional well-being was supported through activities and social engagement. Staff encouraged participation in meaningful activities and involved families where appropriate. Outings and activities were tailored to reflect residents’ individual interests, preferences and life histories.

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 experienced positive outcomes from the care and support they received from staff. People’s care and support was regularly reviewed to ensure this was meeting their assessed needs and expected outcomes. Systems were in place to monitor the care and support provided to people to ensure this remained effective.

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

The service was working within the principles of the Mental Capacity Act (MCA) 2005. Staff involved people in their care, offering choices and respecting their decisions. Mental capacity assessments were completed with people and others involved in their care. Where people did not have capacity to consent to their care, managers liaised with the relevant local authorities and held best interest meetings with those who had legal authorisation to make decisions on their behalf. The provider informed us that all deprivation of Liberty safeguarding were up-to-date on the part of the provider and that staff had received Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (Dols) training.