Meadowcroft Health Care Limited

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 79 (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. For example, people's care plans were reviewed monthly or when a change occurred. Where possible people had been involved in assessing and reviewing their care and support needs. One person told us, “They do talk to me about my care now and again and see if I’m ok with everything.” This meant staff had accurate guidance in place to support people safely.

The management team planned and delivered care and treatment in partnership with people, ensuring their individual needs, preferences, and what mattered most to them were central to decision-making. Care was provided in line with relevant legislation and current evidence-based best practice and standards. Person-centred care plans and risk assessments were in place, which provided a written overview of people’s needs. These were regularly reviewed and co-produced with people and relevant specialist health services. Records provided clear guidance for staff, including information on how to recognise deterioration in a person’s physical or mental health, and when to seek advice from other professionals and agencies. Professionals spoke positively about the service and highlighted its proactive approach to work in partnership with them.

The provider worked effectively across teams and services to support people. They ensured people only needed to tell their story once by sharing assessments of needs when individuals moved between different services. Staff had access to the information they required to deliver care, and to share information with other professionals. The service used an electronic recording and planning system, which meant people’s information was easily accessible to staff. The management team had established strong working relationships with healthcare professionals to ensure people received effective, coordinated care. One professional told us, “Our [health professionals name] liaise with Meadowcroft on a weekly basis and undertakes a routine visit on a monthly basis. Communication is generally consistent and focused on the ongoing clinical needs of the residents.” This meant people experienced, joined-up care and support, with their needs understood and met consistently across services.

The provider supported people to manage their health and wellbeing in a way that maximised their independence, choice, and control. Staff worked with people to support healthier lifestyles and, where possible, reduce their future need for care and support. Detailed care plans were in place to address people’s mental health needs, and staff worked closely with other professionals and services to ensure timely access to support during periods of crisis. People were also supported to access a range of healthcare services, including dentists, opticians, and chiropodists. One person told us, “I go out for an eye test as I’ve got cataracts and am waiting for an operation soon. I go to the podiatry clinic.” This meant people were supported to maintain and improve their health and wellbeing and people had the opportunity for any health conditions to be identified.

The provider demonstrated outstanding practice in monitoring people’s care and treatment to continually improve outcomes. Robust systems were in place to ensure outcomes were consistently positive, measurable, and fully met both clinical requirements and people’s own expectations. The service actively reviewed progress and adapted support in response to people’s changing needs, aspirations, and risks. The registered manager ensured staff always balanced people’s rights to make informed choices with positive risk-taking. For example, one person who had spent several years in mental health services was supported through a carefully planned and well-monitored transition towards family and community life. Staff consistently completed comprehensive and person centred risk assessments and implemented robust control measures to enable the person to begin daytime home stays with their parent. Progress was regularly reviewed, and as outcomes remained positive, support was safely adjusted to allow overnight stays. This approach significantly improved the person’s independence, emotional wellbeing, and family relationships. This meant support was both safe and enabling, and that people were supported to achieve meaningful improvements in their lives and long-term outcomes.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. During the onsite visit, we observed staff routinely seek consent before providing support. The registered manager and staff followed the Mental Capacity Act 2005 (MCA), and supported people to make their own decisions wherever possible.

Where people were assessed to lack capacity, appropriate mental capacity assessments had been completed, and decisions were made in line with best-interest and least-restrictive principles. Staff demonstrated a good understanding of consent to care and treatment. One staff member told us, “Consent means ensuring the service users agrees that you can do what you need to do to ensure the best care for them such as personal care. I would gain consent by asking “is it okay if I do?” or “can I do?” but before asking for consent I would explain what I want to do.” People had been offered advocacy services and one person told us they did have an advocate. This meant people’s rights were protected, their choices were respected, and care was delivered lawfully and in their best interests.