Kilfillan House Care Home

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 remains 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.

Families, carers, advocates, professionals and other stakeholders are meaningfully involved in the assessment of people’s needs and reviews. Assessments are regularly reviewed and updated to make sure the information is current, and care, support and treatment is meeting people’s needs and individual outcomes as expected.

Records demonstrated comprehensive assessment and review processes for people with complex physical health, nursing and cognitive needs. Identified support requirements included Parkinson's disease management, dysphagia (swallowing difficulties), pressure area care, malnutrition risks, falls prevention, end of life care, catheter care, mobility needs requiring specialist equipment and the management of multiple long-term health conditions. Assessments informed personalised care plans and risk management strategies, helping ensure people received consistent care and support that reflected their current needs, preferences and desired outcomes. Changes in health or wellbeing triggered reassessment and multidisciplinary review, supporting timely adjustments to care and treatment.

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 nutritional and hydration needs were assessed, monitored and reviewed in line with current best practice. Care records showed risks relating to malnutrition, dehydration and dietary needs were identified and managed through personalised care plans, regular weight monitoring and food and fluid intake records where required.

People were supported to eat and drink according to their individual needs, preferences and choices, with specialist advice sought from healthcare professionals when required. Effective quality monitoring systems provided oversight of nutritional and hydration needs, ensuring risks were identified and managed promptly.

Staff demonstrated a strong understanding of people’s wellbeing and were able to recognise early signs of deterioration. As one staff member told us, “Because staff know residents so well, they are often able to recognise even subtle changes in a person's health, mood or behaviour and can respond appropriately at an early stage.” This helped ensure timely interventions and positive outcomes for people receiving care and support.

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, with their agreement, when people moved between different services.

The provider supported people to manage their health and wellbeing and access healthcare services. A person told us, “They always check if I'm alright.” Staff monitored individual's health, made referrals where necessary and acted promptly when concerns arose.

Records showed regular liaison with GPs, community healthcare teams and specialist clinicians

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 monitored people's health, made referrals where necessary and acted promptly when concerns arose. A person who required a special diet had a detailed list of healthy options they needed to eat. A copy of this list was observed in the service’s kitchen to inform Staff of their personal needs; this enabled the person to live a healthier life and maintain their independence.

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 achieved positive outcomes because staff regularly reviewed their needs, adapted support and worked closely with healthcare professionals. People maintained their independence, wellbeing and involvement in meaningful activities. A person told us, “Staff listen and are very helpful."

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

People were supported to make informed choices and remain involved in decisions about their care and treatment. A person said, “I am given a choice,” and care records stated, “[Person] is able to make choices about their daily routine, clothing, meals and activities and should be fully involved in decisions regarding their care.” This demonstrated that people's rights, wishes and preferences were recognised and respected.

When people were unable to make informed decisions, staff worked in accordance with the Mental Capacity Act 2005. Records showed mental capacity assessments had been completed where required and best-interest decisions made with appropriate involvement from relatives and Lasting Power of Attorney holders. People were still supported to make day-to-day choices wherever possible, and Deprivation of Liberty Safeguards applications had been made where necessary to protect people's rights while maintaining their safety and wellbeing.