Roundhey Care

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.

This is the first assessment for this service. This key question has been rated 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.

People's needs were assessed before they received a service. Assessments took place with people in their homes. Family or representatives also attended where appropriate. People were involved in developing their care plans during initial visits from the provider, so their care was tailored to their individual needs and preferences.

Care plans and risk assessments were reviewed after 6-8 weeks of the care being in place. This gave people the opportunity to provide feedback about what was going well and discuss any changes they would like to make. Care plans and risk assessments were then reviewed annually, or as and when any changes occurred.

Relatives told us, “The carers are constantly improving and adjusting [relatives] care plan to meet their changing needs, they make [relative] feel safe, happy and as independent as much as she is able to be.”

The provider planned and delivered people’s care and treatment with them, including what was important and mattered to them.

Care plans had information about what was important to people. This included their hobbies and interests, important relationships in their life, and a ‘please do and please don’t’ section where people could specify what they would and would not like carers to do when in their home.

Staff were aware of people's nutritional needs and had clear information within care plans to support with this. People confirmed they were supported with their dietary needs and were provided with the assistance they needed to prepare meals. One person told us, "The carers do my breakfast and ensure I have plenty to drink to hand”. A relative shared how carers ensured there was fresh food in the fridge and always encouraged their loved one to eat and drink, especially when they were reluctant to.

The provider worked well across teams and services to support people. They made sure information was shared between different teams and external services to ensure continuity of care.

Staff understood their role within the wider team and described how they communicated effectively with each other and other professionals to ensure safe care. Staff reported contacting the registered manager or healthcare professionals promptly if concerns arose or additional support was needed.

Care records demonstrated the provider planned care in line with guidance from external services where required. For example, we saw evidence the provider had worked in collaboration with the neurological team and the speech and language therapy (SALT) team to coordinate a safe discharge home for a person admitted to hospital following a fall.

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 engage in meaningful activities and maintain community connections, which had a positive impact on their emotional wellbeing and reduced isolation. This included supporting people to attend events, go on walks and day trips to places of interest, and complete regular exercise.

The provider shared how they had supported people to maintain a healthy and varied diet. For example, they purchased a smoothie maker for a person who was struggling to adjust to the taste of thickened liquids following a newly diagnosed condition. This meant the person could have more enjoyable tasting drinks in line with SALT guidance, made with fresh fruit and vegetables. Staff had received training in nutrition and hydration.

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they met both clinical expectations and the expectations of people themselves.

The provider had systems in place to monitor, audit and review the care and support given to people to ensure it met their individual needs. A relative said, “We work with the manager to ensure it is reviewed and kept up to date with any changes made to meet [person’s] changes of need.”

We saw evidence of how the provider had supported people to achieve positive outcomes. For example, the provider arranged a baking session for a person who shared they missed being able to bake cakes, due to ill health and deteriorating eyesight.

Care plans recorded agreed outcomes for people and how to achieve them. Some of the outcomes were personalised to the individual, however some included generic prompts which lacked specific detail needed to inform the staff how to help achieve positive outcomes. We spoke to the provider about the importance of ensuring electronic records are specific and person-centred throughout.

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

Staff demonstrated an understanding of the importance of seeking consent and respecting people’s choices. People told us the staff who supported them respected their wishes and sought their consent before providing care. They told us, “[Staff] always ask me first before doing anything. They usually ask if I want a shower or a strip wash, we have such an amicable relationship when it comes to my personal care” and “They do always seek [relative’s] consent especially when it comes to washing and showering.”

Care plans had been electronically signed by people or their lasting power of attorney where appropriate, to confirm they had been involved in their care planning, and that consent was given for care to be provided as described in the plan.