Cleveland 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 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. People’s care needs were assessed to ensure they received the right support. Leaders ensured people had a detailed assessment completed before they moved into the service. All staff were made aware of people’s support needs and preferences. Care plans were completed in collaboration with the person where documentation was person centred and person specific.

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. Staff used nationally recognised tools and approaches when supporting people. People were at the centre of decisions made about their care and treatment. People were supported to eat and drink well in line with their needs. Staff used tools such as Malnutrition Universal Screening Tool (MUST) when assessing and monitoring people’s weight. Staff and leaders were clear on their responsibilities to use evidenced based approaches to support 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. Staff worked in collaboration with visiting professionals. The service had visits from district nurses, GPs and Social Workers and staff had good working relationships with them. Due to staff having detailed knowledge on people’s lives and choices, they were able to clearly articulate people’s circumstances to visiting professionals to ensure good partnership working and collaboration.

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 were supported to live healthy fulfilling lives. Staff supported and guided people to make healthy choices whilst respecting the person’s autonomy and wishes. Kitchen staff prepared nutritious and balanced meals which met people’s different dietary needs. There were dedicated outside spaces such as a patio area and garden area with a greenhouse. Activity staff were passionate and encouraged people to access outside spaces to improve well being and promote good mental health. One activity member of staff told us, “We have the local church do a church service. We have the local school visit every week and we’ve just got a mini bus. We do lots of things which are accessible to everyone here."

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’s support needs and outcomes. Staff knew people well and used monitoring tools to track and escalate any changes in a person’s situation. People’s care plans were updated on a monthly basis, or sooner if there had been a change, to ensure staff had the current information to provide effective care.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. People were supported to make their own choices. Staff had a good understanding of the Mental Capacity Act and the importance of respecting and promoting people’s choices and wishes. Where people were unable to make their own choices, staff and leaders worked within legal frameworks to ensure decisions were made in the person’s best interests involving relatives and advocates.