Garden 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 management team completed initial assessments with people before they moved into the service. Care plans were robust, person-centred and reflected people’s assessed needs. Records were updated when people’s needs or preferences changed. People said that staff regularly discussed their care with them.
 

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.
Records showed that people were cared for in a person-centred way in line with their care plans. People and their relatives were involved in planning care. A person said, “My sister is involved in my care.” Staff had been trained to deliver specialist care when required, for example administering insulin injections for diabetes.
 

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 knew people well and a handover took place at the start of each shift to ensure any concerns were monitored. We observed staff working well as a team during the assessment.
Healthcare and social care professionals confirmed staff worked well with them. A professional said, “The staff at Garden House have always worked well with our service and this relies on a strong degree of collaboration. Documentation is completed as requested which assists our assessments to be as comprehensive as possible.”
 

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.
Staff ensured people received the appropriate food and drinks, including where people required a specialist diet. People were encouraged to maintain their independence, such as moving around the home, helping with housekeeping and accessing the outdoor spaces. Staff ensured people had timely access to specialist health care services.

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.
Staff monitored people appropriately. Care records were reviewed regularly to ensure the care met people’s needs as their circumstances changed.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment.
Staff demonstrated a clear understanding of the principles of the Mental Capacity Act 2005 (MCA). The MCA provides a legal framework for making particular decisions on behalf of people who may lack the mental capacity to do so for themselves. The MCA requires that, as far as possible, people make their own decisions and are helped to do so when needed. When they lack mental capacity to make particular decisions, any made on their behalf must be in their best interests and as least restrictive as possible. People can only be deprived of their liberty to receive care and treatment when this is in their best interests and legally authorised under the MCA.
Best interests decisions were in place to ensure people were safe and cared for appropriately.