Kingston Rehabilitation Centre

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 67 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

We did not look at Assessing needs during this assessment. The score for this quality statement is based on the previous rating for Effective.

The provider did not always plan and deliver people’s care and treatment with them, including what was important and mattered to them.

Actions had been taken by the provider to improve quality of the food being provided for people. We received positive feedback regarding a new chef that was recently employed by the service. People commented, “The food is fine”, “I like it. It’s nice” and “Choice of 3 cooked meals. If I don’t like it the chef will ask me, ‘what would you like?’” We saw people eating at their own pace and not being rushed.

However, further actions were necessary to improve people’s mealtime experience. We saw people being seated in rows, which did not support their social interactions. Plates with food were kept wrapped with cling film when put in front of people and only taken of when people finished their other meals.

Staff had access to care plans and used this information to support people with their preferences and individual care needs.

We did not look at How staff, teams and services work together during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at Supporting people to live healthier lives during this assessment. The score for this quality statement is based on the previous rating for Effective.

The provider routinely monitored people’s care and treatment aiming to meet both clinical expectations and the expectations of people themselves. Processes were followed to involve people and their family members where appropriate in the care planning and reviews. The management team told us that alongside the monthly care plan reviews, the service was in the process of meeting with people and their representatives, aiming to review all care plans so that it was up to date and person- centred.

The provider did not always respect people’s rights around consent when delivering care and treatment.

We found that the mental capacity assessments completed by the service were not always decision specific. Information was not included in relation to how the decisions were reached. Evidence related to a person 's ability to understand, retain and communicate the information provided was not always recorded. We discussed this with the management team who told us they will review their processes in place making sure the service was compliant with the legal requirements.

The management team understood how the Deprivation of Liberty applied to the people who used the service and involved legal professionals working for public authorities requesting authorisations as necessary.