Ranmore 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 the same. 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’s needs were assessed before they moved into the service and regularly once they had moved in. Care plans were updated when there had been changes to the previously assessed needs. People, their relatives and professionals were involved in the assessment process.

The provider told us they undertook these assessments in-person to ensure the person would fit into the social community of the service. This included trial stays and meeting the people who already lived at the service.

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.

Relatives told us people’s nutritional needs were met, and people were encouraged to take part in the preparation of their meals. One relative described how meals were “home-cooked” and how staff encouraged the person to make nutritionally balanced choices.

The provider understood nationally recognised guidelines and what their responsibilities were. They kept their knowledge updated and ensured staff had completed specific training to support people with a learning disability and/or autistic people.

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.

Relatives told us people’s care was coordinated and staff worked well together internally and with external partners. Staff knew people’s needs well and were able to share information appropriately internally and externally. Staff undertook daily handovers to communicate changes about people’s needs and their plans for the day.

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.

Relatives told us staff supported people with their health and oversaw people’s health appointments to ensure these were not missed. We saw in people’s records that they had access to dentists and opticians and there were systems in place to ensure people were able to choose what they wished to engage with by a staff group who understood their anxieties.

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 told us staff followed healthcare professionals’ advice and followed instructions appropriately. One relative told us, “We get advice from all kinds of people [professionals]. Staff follow it.”

Healthcare professionals told us staff involved them and followed their instructions. One healthcare professional commented, “They tend to ask for medical opinion/help and review in acceptable timeframe, action tasks and requests from GPs and allied professionals as needed. Handover to the other team members seems timely and sufficient.”

Care records were updated by staff when they had received instructions from healthcare professionals. For example, one person needed specific observations to be completed when they had a seizure, there were instructions for staff and the provider monitored the equipment required to ensure it was suitable to use.

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

Relatives told us staff sought consent from people and respected people’s decisions. One relative commented in relation to staff seeking consent, “All the staff are really knowledgeable about autism.”

Staff had undertaken relevant training and understood the principles of the Mental Capacity Act 2005 (MCA). The provider had systems in place and understood their responsibilities in relation to the MCA. The provider assessed people’s capacity where they had reason to suspect that the person may be lacking capacity. Where appropriate, staff submitted referrals to the relevant authorities.