Rayner 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: Key question summary
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.

Assessing needs

Score: 3

The provider made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them.
 

Delivering evidence-based care and treatment

Score: 3

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.
 

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.

Monitoring and improving outcomes.

Score: 2

The provider did not always routinely monitor people’s care and treatment to continuously improve it. They did not always ensure that outcomes were positive and consistent, or that they met both clinical expectations and the expectations of people themselves.

Fluid monitoring records did not always clearly evidence the action staff should take when people failed to achieve their prescribed fluid intake targets, and management oversight of these records was not consistently demonstrated. However, staff monitored people's health needs and used care records to guide care delivery, including condition-specific monitoring such as diabetes management and foot health checks.

The provider responded positively to this feedback and had already begun strengthening recording and governance arrangements. They were reviewing their systems to improve the recording of fluid targets, actions taken and the escalation of concerns. The provider had also introduced end-of-shift management reviews and strengthened oversight by deputy managers, senior shift leaders, and the registered manager to provide greater assurance that risks were identified, monitored, and acted upon in a timely way.
 

Consent to care and treatment.

Score: 3

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