Wrawby Hall 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 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. Staff reviewed care plans, and handovers at the start of each shiftwere used to keep the team up to date when people’s needs changed.People and their relatives were involved in developing people’s care plans prior to admission. Staff completed pre-admission assessments in people’s homes. One relative told us, “[Staff] came out to our house and spent time with us”.

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. People received care in line with good practice and clinical guidance. Staff used recognised tools such as malnutrition, falls and frailty scales, pressure area and diabetes assessments, along with monitoring charts for nutrition, fluids, skin, and oral health. Partnership working with health professionals was strong, with timely escalation to GPs, district nurses, SPA and ambulance services, and regular weekly “ward rounds” were carried out. However, some long t‑erm conditions were not fully reflected in care plans. The registered manager addressed this immediately after our feedback.

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. Staff, teams and services worked well together to coordinate people’s care. Daily meetings, shift handovers and the registered manager’s walk-rounds were used to share information within staff teams so everyone understood people’s changing needs and priorities for the day. External professionals described working closely with the service and professional visitor survey responses showed visiting professionals felt the team reacted “extremely well” to their advice and described staff as “very proactive” in requesting support.

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.Staff used monitoring tools and charts to track risks such as weight loss, and they encouraged mobility and repositioning to prevent skin deterioration. People were supported to take part in varied activities, including outings, gardening, sensory and reminiscence sessions, music, visits from local schools and community events, and relatives told us this had helped people become more social, regain confidence and “get a new lease of life.” External professionals reported the team were proactive in early identification of health issues and sought timely input from GPs, district nurses, speech and language therapy and physical therapy services.

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. Leaders carried out internal audits and regular compliance visits. Staff said they reviewed care plans and risk assessments monthly to reflect people’s changing needs.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. The provider followed the Mental Capacity Act and ensured people’s consent was obtained. Care records included mental capacity assessments and records relating to best interest decisions.Additionally, staff told us they always asked for people’s consent before providing care.