Hartford Hey

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’s needs were assessed before they began using the service. The provider used a pre-admission document to capture a person’s needs for all aspects of daily living such as personal care, mobility, night-time routines, physical health and communication needs, to ensure they could provide them with effective care and support. Care plans detailed people’s preferences and what was important to them, and they were developed with input from the person, their family members and relevant healthcare professionals. Care plans were reviewed 6 monthly or sooner if people’s needs changed.
 

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 provider used recognised assessment tools such as the malnutrition universal screening tool (MUST). This was completed where there was an identified risk for someone, and people’s weights were monitored monthly, where appropriate, to identify any changes that may need addressing. Pressure area risk was assessed using another clinical tool, the Braden Scale, and we saw this informed the use of appropriate equipment and monitoring, such as pressure relieving mattresses and cushions. People’s nutrition and hydration needs and preferences were recorded in their care plans, with staff completing food and fluid charts where clinically necessary to help identify patterns or anomalies that might require further action.
 

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.
The provider had a good relationship with the local GP and nurse practitioner. The nurse visited the home weekly to support people who needed short term treatments and the GP visited once a month to review people’s overall health and wellbeing. This meant there was good oversight of people’s health and a check to ensure medications were working as they should. The GP explained they supported the team if a person was placed on end-of-life care.
 

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.
Care plans evidenced the amount of support people needed with everyday living tasks, such as dressing, personal care and mobility needs. We observed staff encouraging people to be as independent as they could, when moving about the home. There was good communication observed between people and staff when talking about what food they enjoyed and where they would like to sit and eat their meals.
 

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.
Monitoring systems were in place for people with identified risks. For example, one person who was at risk of pressure injury had a daily skin check, monthly weight monitoring and diet and fluid intake recorded. The registered manager reviewed these records and maintained an overview sheet to identify any changes or concerns, including when referrals to healthcare professionals might be needed.
 

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment.
Consent forms were observed in people care plans, they contained information about how they would like to spend their day, what time they would like to eat and where, what time they like to retire to bed and whether they wanted to join in with activities in communal areas. Where people preferred to spend time in their room or were cared for in bed, staff would ensure people had some one-to-one time with staff and would spend time chatting with them.