Emmaus 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 79 (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 effective by assessing and reviewing their health, care, wellbeing and communication needs with them. People’s needs were assessed before they moved into the home. Assessments were detailed and covered care and support needs, as well as what was important to and for each person.

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’s care and treatment were reviewed regularly, and staff sought specialist advice when required. There was a strong focus on nutrition and hydration. Following a review of individuals’ weight loss, staff identified that practice could be further developed. The registered manager worked in partnership with local dietetic services to strengthen nutritional support for people. Staff received specialist training in food fortification and nutritional care, updated people's care plans in line with current needs and preferences and implemented improved monitoring of food intake to help ensure care was based on recognised nutritional best practice. This increased staff knowledge and confidence in supporting people's nutritional needs and contributed to positive outcomes, with the 3 people originally identified experiencing weight gain during the project. The learning and systems developed were then embedded into care practice.

Staff were designated as ‘champions’ in various aspects of care. The staff had received additional support, and also training from external organisations and professionals. They were able to support and advise other staff and managers on ensuring best practise. This included areas such as end-of-life care, hydration and nutrition, infection prevention and control, manual handling, oral health, safeguarding, continence, dementia and a nighttime care champion.

People told us they enjoyed the food and their feedback about the menu was sought regularly. A person told us, “They can’t do enough for you. You have so much food at lunch time. You can say you want a smaller portion, and you can also say if would like more. They are very good. You always have enough to drink. We had ice lollies yesterday, as it was hot. They are very good.”

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. Managers and staff worked effectively with each other and with external health and social care professionals.

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 received support with lifestyle choices and emotional and spiritual wellbeing. Care records provided information about people’s health conditions, how these affected them, and when staff should raise concerns. People were supported to access a range of health care professionals. A person told us, “If you need to go to a clinic or hospital appointment, they will take you so you don’t have to go on your own. It’s much better to go with someone.”

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. People’s care and support needs were monitored by staff and reviewed regularly. Staff took appropriate action when changes occurred and ensured care records were updated accordingly.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. The provider was meeting the requirements of the Mental Capacity Act 2005 (MCA). Care records included evidence of assessments of people’s capacity. Staff we spoke with understood their responsibility’s and demonstrated how they gained people’s consent. People told us staff always involved them in decisions about their care. A person told us, “Oh yes, they are very nice, they ask you what you want and if you are happy. They are very good.”