The Emmie Dixon 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 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.
The provider assessed people’s needs before they moved into the home and reviewed these regularly with the person and those important to them.
A 'Resident of the Day' programme was in place to support regular reviews of care plans. As part of this process, the registered manager spoke with people and their relatives about any changes they would like to their care, including activities and menu choices. This helped to ensure support remained personalised and responsive to people’s needs.
 

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 had reflected on the Right Care, Right Support, Right Culture guidance, demonstrating within care plans how they were able to provide person-centred care and promote choice and independence for people. Where a person was at risk, the provider used recognised assessment tools such as the malnutrition universal screening tool (MUST) to help identify and monitor their nutritional needs. Where concerns were identified, appropriate referrals were made to healthcare professional such as dieticians, or speech and language therapists.
 

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 thorough process for supporting people to move from hospital to home considering their individual preferences. One professional partner told us, “They are very welcoming and appear to all work well together.” The provider had monthly contact with the GP practice, who visited the home to review each person’s health needs and address any ongoing concerns.The provider worked closely with social workers to assess and review people’s needs and sought support from the learning disability community health team, which provided specialist training relating to people’s conditions and support needs.

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 access healthcare appointments as needed and monitoring arrangements were in place, guided by healthcare professionals, for people who required them for certain conditions. The registered manager kept an appointment tracker to monitor people’s upcoming appointments, making sure any necessary preparations were made ahead of time. Staff were able to recognise when people’s presentation changed, and sought guidance from the registered manager, who would then make referrals to the appropriate healthcare professionals where needed.
 

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured outcomes were positive and consistent, and they met both clinical expectations and the expectations of people themselves.
The provider had effective systems in place to monitor people's health and wellbeing and identify any changes in their needs. Records showed trends were identified and acted upon, including a referral for one person for further healthcare investigations.Staff monitored some people’s food and fluid intake, where required, and sought timely reviews when concerns were identified. Where needed, staff routinely monitored and recorded people's blood pressure in line with guidance from healthcare professionals to help support decisions about their care and treatment.
 

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment.
Risk assessments were completed to help minimise risks and support people's understanding of any associated concerns. Where safety equipment was required, staff sought the person’s consent wherever possible and involved them in decisions about its use.Where people were unable to make a particular decision, decisions were made in their best interest in line with the Mental Capacity Act. These decisions were focused on the person’s individual needs and involved those who knew the person well.