Sycamore Rise Residential Care Home

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 changed to requires improvement. This meant the effectiveness of people’s care, treatment and support did not always achieve good outcomes or was inconsistent. The service was in continued breach of legal regulations in relation to accurate care documentation.

This service scored 67 (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 their health, care, wellbeing and communication needs. People’s communication methods were outlined within their care plans to enable them to receive care and treatment which worked for them. We observed people being supported to communicate and if they needed communication aids, staff were aware of this and supported people to use the aids. The registered manager was introducing a formal oral health assessment to support the oral health care plans in place.

The provider did not always deliver people’s care and treatment in line with current national guidance and best practice. For example, two people at the service had specific health conditions. There was no written guidance to inform staff on the signs and symptoms which the people may display if they became unwell. There was no instruction for staff on the action to take if the people’s health conditions changed. This meant people were risk of receiving unsuitable care and treatment. We discussed our concerns with the registered manager who amended care plans before the assessment concluded.

The provider worked well across teams and services to support people. Information was shared with other health and social care professionals to support effective care planning and delivery. Records of agreements and responsibilities were documented to help enable collaborative working.

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. People were supported to seek medical advice when this was appropriate, and care records documented any changes.

The provider routinely monitored people’s care and treatment. For example, we saw peoples weight was monitored at a frequency that met their assessed needs. If people needed care and treatment from an appropriate health professional, referrals were made and advice documented to help ensure people’s health and wellbeing was maintained.

The provider did not always document people’s consent. The service had CCTV in place in communal areas. Care records did not evidence some people’s consent had been sought for this. The registered manager told us if people didn’t have mental capacity to agree to the use of CCTV, they were seeking consent from family members. We observed staff seeking consent from people before care was delivered and a person told us, “They get my consent if I'll want to shower or any other care.” Mental capacity assessments were completed if these were required.