Kenneth House

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 promoteda good qualityof life, based on best available evidence.

At our last assessment we rated this key questiongood. At thisassessmentthe rating hasremainedgood.

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,wellbeingand communication needs with them. For example, staff understood the importance of developing relationships with people who were new tothe service, and comprehensive pre-admission assessments were completed which considered people’s needs, preferences,risksand abilities. These covered physical, mental health, emotional and social needs, and people’s families were involved whereappropriate toensure their wishes, choices and routines were reflected. Records we reviewed showed assessments were detailed, regularly updated when people’s needs changed, and directly informed care planning and delivery. Staff had a clear understanding of people’s needs as information was well documented.

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.Forexample, risk assessments and care plans were informed by professional guidance relating to people’s individual needs, and weobservedstaff consistently following this guidance when supporting people. Staffdemonstrateda good understanding of people’s eating and drinking requirements and were aware of any associated risks, including when peoplerequiredmodified or specialist diets. Staff had received all relevant training specific to people’s needs, which supported safe,appropriateand consistent care delivery.

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.For example,staff worked effectively with external agencies to ensure people received the care and support they needed. Appointments and outcomes were clearly recorded, and care plans were updated to reflect anyadviceor guidance staffwere requiredto follow. A member of staffdemonstrateda clear understanding of when and how to refer people to other health and social care professionals. A family member told us,“I feel we are part of one team with[relative]best interest at the centre.”

The provider supported people to manage their health and wellbeing in ways that maximised independence, choice, and control.For example, care plans clearly outlinedhow staff supported people to make healthier lifestyle choices, including encouraging healthier eating and regular physical activity such as walks in the local community. Staff supported people to choose balanced meals, engage in exercise, and attend medical appointments and health reviews tomonitortheir wellbeing.

One staff member told us, “We sit down each week and make a shopping list together, encouraging healthy food options.”

The provider routinelymonitoredpeople’s care and treatment to continuously improve it. They ensured outcomes were positive and consistent.For example, people had clearly defined goals within their care plans which were regularly reviewed and used to track progress. Staff supported people to develop skills and increase independence through structured skill-building programmes, access to pathways into work, and opportunities toparticipatein volunteering.

The provider ensured people were informed of their rights around consent and respected these when deliveringperson‑centredcare and treatment.For example, people were supported to give informed consent wherever possible, with information shared in accessible ways, including the use ofAutism TogethersMental Capacity Act (MCA) pictorial aids,clear language, and individual communication approaches tailored to their needs.

Staffdemonstrateda good understanding of the Mental Capacity Act (2005). Where people lacked capacity to make specific decisions, capacity assessments andbestinterest decisions were completed in line with legislation, with involvement from people, families, and relevant professionals. Where restrictions were necessary to keep people safe, Deprivation of Liberty Safeguardsapplicationswere made and reviewed appropriately to ensure people’s rights were protected.