The Raikes Residential Home

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• 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 service made sure people’s care and treatment was effective by thoroughly assessing and reviewing their health, care, wellbeing and communication needs with them.

People's needs were well assessed to ensure maximise effectiveness of care and treatment. The service completed holistic assessments which included relevant information to people such as communication, dietary or religious needs. People told us they were supported in being involved in initial care planning at the point of admission.

The service 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.

The service provided client guides to inform people about the care offered in the service. However, the information provided to people was out of date, lacked any legislative foundation and did not provide relevant local information, for example, how to contact the local authority. The service has advised us how they will make improvements in this area. The service’s care planning and risk assessments documentation, however, was to a high standard and did have the appropriate evidence-based information to support effective care and treatment.

The service worked well across teams and services to support people. They shared thorough assessments of people’s needs when they moved between different services, so people only needed to tell their story once.

Staff teams within the service worked well to effectively support people needs, including close partnership working with relevant professionals such as dieticians. Professionals provided consistent positive feedback as to how well staff worked together. One professional told us, “Staff are competent and nothing is too much trouble." Another professional told us, “They [the service] are consistently responsive, professional, and highly engaging, and are a genuine pleasure to work with.”

The service 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 supported to live healthier lives by being supported appropriately with their nutritional needs. Any identified health needs were well documented and shared with appropriate staff, for example, kitchen staff relating to nutritional needs. We observed activities taking place in the service to support people to live healthier lives, such as exercise and music activities, to support physical and emotional wellbeing.

The service 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.

People's care and treatment was routinely monitored to ensure outcomes were consistently positive. Relevant documentation was regularly reviewed and audited by leaders, to ensure care was reflect of current need. For example, risk assessments relating to nutritional need were continuously reviewed and updated accordingly, in collaboration with relevant services. People told us they were informed if there were any changes to their care. One relative told us, "The staff always inform us of any changes to the care plan, either in person or by telephone."

The service carefully explained to people what their rights around consent were, made sure they fully understood them and always fully respected these when delivering person-centred care and treatment.

The service had robust systems in place to support with appropriate documentation for consent. Relevant consent documentation was in place in the service, including signed consent documentation. People’s care plan and consent documentation was well embedded with principles of the MCA 2005. We observed staff sought consent from people before providing support. People told us they were asked for consent before care was provided. One person told us, "Staff always check with me before doing anything. They [staff] even ask me if it’s ok to come in to make my bed or clean my room."