Treetops

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 as 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.

People had individual care plans and risk assessments in place which had been developed to meet their current needs. People, their families, and other stakeholders were involved in the initial care needs assessment and periodic review of their care plans where appropriate.

People’s care plans identified their care needs but also referred to people’s individual strengths and ways in which their independence could be supported and encouraged. Where appropriate to an individual’s aspirations, their care plan included learning activities to promote skill acquisition and the potential to move on to alternative, more independent accommodation.

People’s healthcare needs were assessed and detailed in their care plans. People were supported to engage in community healthcare services to ensure their health care needs were met. External healthcare professionals were involved in people’s initial care needs assessment, and relevant healthcare professionals were involved in the regular reviews of people’s health care plans.

The care home environment was suitable to meet the sensory and physical needs of the people living at the care home at the time of the inspection.

People’s assessments included details of their communication needs. People’s positive behavioural care plans also detailed that when there were changes in people’s presentation, emotional state, or distress, then that may indicate a deterioration in their health or wellbeing.

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’s care needs were detailed in their care plans, including guidance on how their specific needs were to be met. For example, some people had detailed care plan sections in relation to nutrition or modified diets, where they were relevant needs for them.

People told us they enjoyed the food provided, and alternatives to the set menu were always available. For example, a person told us, “The food is nice. My favourite is jacket potatoes and cheese. I can have that whenever I want it.”

When people required modified diets, this was recorded in their care plan, and the catering and care staff were all aware of that person’s specific dietary requirements.

People received care, treatment and support which was evidence-based and in line with good practice standards.

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.

People were supported by managers and staff who worked well together and with other external health and social care professionals and bodies. An external healthcare professional told us, “The registered manager is always helpful and liaises, when needed, with good communication by email and telephone calls. The care provider also has two care leads who are very helpful and keep me up to date.”

The registered manager had systems in place to make sure information was shared in a timely manner by everyone involved in people’s care. This all helped to ensure a joined up, consistent approach to delivering safe and effective care to people in line with their individually assessed needs and preferences.

Staff had access to the information they needed to appropriately assess, plan and deliver people’s care, treatment and support.

Some people received care from a range of different external staff, health teams or services. Those links with the care home were co-ordinated effectively. All relevant staff, teams and services were involved in assessing, planning and delivering people's care and treatment, and worked collaboratively to understand and meet people's 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 encouraged and supported to manage their own care needs, where they were able to, by staff who understood their needs and preferences. Staff encouraged and supported people to make healthier choices to help promote and maintain their health and wellbeing.

The provider’s staff regularly monitored people’s health and supported people to access external primary healthcare support from GPs etc, as well as specialist hospital support when needed. A person’s relative told us, “When the GP is called for [my relative] I am informed afterwards. The district nurse also visits the care home.”

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

People experienced positive outcomes from the care home service. There were effective approaches to monitor people’s care and treatment and their individual outcomes. For example, the provider employed an assistant psychologist who reviewed incident reports, and people’s behavioural care notes, to identify trends and ways in which people’s care may need to change. This enabled continuous improvements to be made to people’s care and treatment.

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

Staff supported people to understand their rights where possible. Where people lacked the mental capacity to understand their rights the registered manager arranged for them to be supported by an independent advocate.

Staff encouraged people to make decisions about aspects of their daily care routines, and staff were observed to seek consent from people before supporting them with personal care tasks.

People’s care plans contained assessments of people’s individual capacity to consent to specific decisions about their care. Where people were unable to meaningfully consent, appropriate best interest decisions were made and recorded in their care plans.