Eastbury 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 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.

The provider ensured people’s care and treatment was effective by completing assessments of their health, care, wellbeing and communication needs before they moved into the home. These were reviewed and updated in accordance with a person’s needs. This helped ensure their needs could be met safely. People, and their relatives where appropriate, were involved in planning and reviewing their care.

Care was tailored to people's preferences and daily routines, with people supported to maintain their independence and make choices about their everyday lives wherever possible.

Care records were person-centred and reflected people’s holistic needs. People had regular access to health and social care professionals, which supported them to achieve positive outcomes.

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 were supported to maintain good nutrition and hydration. A range of food and drink options were available, and people were offered choice and support in a calm and respectful manner. We observed staff encouraging people to eat and drink where needed while promoting their independence and respecting their preferences. One relative told us, "During the hot weather the staff are always around with water."

Care plans and risk assessments were in place for people with specific dietary requirements, including those requiring modified diets or support from specialist professionals such as speech and language therapists. People's weights and nutritional intake were monitored, and referrals were made to healthcare professionals when concerns were identified.

Relatives spoke positively about the support provided. One relative told us, "[Person] has put on a good amount of weight since going to Eastbury and has had no further bouts of DKA (Diabetic Ketoacidosis)." Another relative said eating and drinking support met their family member's needs and preferences. This demonstrated people received safe and effective support to meet their nutritional and hydration needs, with any risks identified and addressed promptly.
 

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 demonstrated effective team working and maintained positive relationships with external professionals, including health and social care services. Communication systems such as daily records and handovers ensured important information was shared appropriately. This supported continuity of care and a consistent approach to meeting people’s needs. Staff were able to recognise where people's needs were changing and gained the involvement of relevant professionals.

Records we viewed confirmed these systems were effective. Referrals to health and social care professionals were made as required and care records showed advice from health and social care professionals was promptly incorporated into people’s care plans, to ensure their advice was followed.

Feedback we received from health and social care professionals involved with the service was positive. A health and social care professional told us, “I find Eastbury house very amenable and very easy to work with as part of the multi-disciplinary team.”
 

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 told us they were supported to maintain good health, and care records reflected the support staff described. Staff understood people's health conditions and individual needs, including those requiring close monitoring of their fluid intake, nutrition or long-term health conditions. Information recorded in care plans was consistent with staff knowledge of people's healthcare needs.

People were supported to access healthcare services, including GPs, dentists, opticians and other specialists. Where needed, staff accompanied people to appointments to ensure they received the care and treatment required. Relatives told us staff were proactive in arranging healthcare support and would accompany people to appointments when family members were unable to do so.
 

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.

Relatives spoke positively about the outcomes people experienced at the home and described improvements in their health, wellbeing and quality of life. One relative told us, "Before [person] moved into Eastbury, they were unsafe in their own home and ended up in hospital. Since going to live there, [person] has gained weight and their diabetes has stabilised."

The provider maintained a clear focus on monitoring outcomes and using feedback to improve care.
Care records, audits and feedback from relatives demonstrated that people's health, safety and wellbeing were regularly monitored. Relatives told us staff understood people's individual needs and responded appropriately when circumstances changed. This showed people's outcomes were reviewed and used to inform the ongoing development of care and support.
 

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

People were supported to consent to their care. Records showed that when a person might lack capacity to make specific decisions, assessments were carried out in line with legislation. Best-interest decisions involved the person, their representatives and relevant professionals.

Staff completed appropriate training regarding the Mental Capacity Act 2005 (MCA) and were knowledgeable about consent, working within the principles of the MCA. Staff described how they supported people in the least restrictive way possible. One staff member told us, "I encourage residents to make choices about their daily routines, meals, clothing, activities and personal care." Another explained, "I support them by encouraging them to be as independent as possible and respecting their right to make decisions." This demonstrated staff understood the importance of seeking consent and promoting people's rights, choice and independence.