Rainham 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 the person’s care and treatment was effective by assessing and reviewing their health, care and communication needs with them. They involved the person in these discussions and kept them informed about their general wellbeing. The person’s family were kept informed with changes to the person’s needs and regular discussions took place to discuss changes to such things as the person’s medication. The person’s family told us the provider worked with the GP to assess the person’s medicines. They said, “[person] is far more responsive and lucid, we can have conversations where [person] is able recall events from the past. [person] is much more settled and there is little in the way of any distress they show which was probably caused by how their medication was.”

The provider planned and delivered the person’s care and treatment with them, including what was important and mattered to them. The provider had supported the person to lose a significant amount of weight. This was done by introducing greater opportunities for exercise as well working with the person to plan healthier menus. The provider sought ways to overcome challenges posed by the person’s intolerance of everyday items such as bed linen and clothes and came up with imaginative solutions to manage these the best way possible.

The provider worked well across teams and services to support the person. They shared information to others when it was in the person’s best interest to do so. The provider told us they liaised frequently with such people as the person’s GP, pharmacist and chiropodist so the person had access to the services they needed.

The person had a hospital passport in place which contained important information about the person including the medicines they took, allergies they might have and the way they wanted to be supported. The provider had this in case they needed to share it with emergency services or a hospital to help provide continuity of care for the person whilst using these services.

The provider supported the person to manage their health and wellbeing to maximise their independence, choice and control. The person had a timetable of activities each day and regularly accessed facilities within their local community to enable them to get regular exercise. The person had a health action plan in place. This enabled staff and professionals the ability to see important health checks were carried out and the outcomes from them recorded. Whilst the person had choice over what they ate the provider worked with the person to inform them about what food was healthy.

The provider routinely monitored the person’s care to continuously improve it. They ensured that outcomes were positive and consistent and could demonstrate the difference they had made on the person’s life. The provider told us about the work they had undertaken to help the person settle to the point where they were able to use community facilities that were manageable for them. The deputy manager told us how they got the person involved in doing their weekly shopping in their local supermarket and planned these trips at times when it was quiet which was more manageable for the person. They told us, “[person] is able to go into the supermarket at quiet times and do their food shopping. We know through our experience of [person] that public transport is not possible owing to noise and crowds.”

The provider told the person about their rights around consent and respected these when delivering person-centred care and treatment. The person lacked capacity to manage their finances and needed help with this but was able to make decisions in other areas of their lives. Staff offered the person choice about a range of different things such as the food they ate and where they wanted to go. A staff member told us, “We have one to one sessions with the person to find out what they want, we talk about the support they get and ask them if they want anything different.”