Woodham Grange

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 inspection we rated this key question good. At this inspection 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.

Staff at the service made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them.A relative commented, “Staff ensured that [Name] moved in very well, they really did step up to ensure they could meet [Name]’s needs.” Staff told us there were effective systems in place to assess and monitor people’s needs. This included handover meetings between incoming and outgoing staff on shift and staff meetings. A staff member commented, “Communication is good, we are kept up to date about changes to people’s needs.”

Staff 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 received a varied diet. Where people were at risk of weight loss, their nutrition and hydration was monitored. Specialist advice was obtained in a timely way, including for modified diets. Some people were supported to become involved in meal preparation and making drinks or snacks, whatever the level of need.

Staff at the service worked well across teams and services to support people. Staff made timely referrals and worked well with other agencies to ensure people's treatment needs were met. A relative told us, “[Name] has an emergency epilepsy protocol in place and staff call the paramedics if they need to.”

Staff supported people to manage their health and wellbeing to fully maximise their independence, choice and control. Staff supported people to live healthier lives and where possible, reduce their future needs for care and support. Records included specialist advice and guidance, that had been obtained where people had additional support needs, such as, from the occupational therapist, speech and language therapist or community nursing team. Relatives told us people were supported to access health care. A relative commented, “Staff arrange all [Name]’s appointments with the consultant, GP and dentist."

Staff at the service monitored all people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they fully met both clinical expectations and the expectations of people themselves. Care plans were detailed, personalised and provided guidance to ensure outcomes could be met ensuring people received safe, consistent and effective support. There was a system of regular evaluation of risk assessments and people's care plans.

Staff told people about their rights around consent and respected these when delivering person-centred care and treatment. Assessments were carried out, around people’s mental capacity and care records contained relevant information. Records captured all the relevant others involved in Best Interest decision making, where people did not have the mental capacity to give consent. The management team ensured Deprivation of Liberty [DoLS] authorisations were sought when needed and any conditions imposed by them were followed.