Tentelow Lane

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 as 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 needs were assessed and met through individualised care plans that were regularly reviewed and updated. People were involved in decisions about their care. Relatives told us, “I go to review meetings and talk about anything. [Person] is asked questions and we discuss plans for their future” and “We have meetings. We attend reviews yearly and we are encouraged to say what we feel.” Staff worked closely with healthcare professionals and other relevant agencies as needed and held regular team meetings to review care and respond to changing needs. Relatives were kept involved and informed about assessing people’s needs. We reviewed one care plan and found that the person’s needs had not been fully considered. We discussed this with the registered manager, who started taking action to address the issue. Care plans were updated whenever a person’s needs or preferences changed to keep support appropriate.

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 involved people and their relatives, when appropriate, in assessing and reviewing each person’s needs. They received training specific to people’s health conditions, sometimes with input from the people themselves. People described staff as skilled and experienced.

Care plans detailed people’s health and wellbeing needs, required support, and preferred routines. The registered manager held regular team meetings to review care and manage supported staff in providing effective care. Assessments and support plans considered people’s medical, sensory, emotional, and communication needs, guiding staff to provide effective care while minimising distress and providing routine. This approach improved people’s health and wellbeing.

People received care that matched their needs and preferences. Staff supported nutrition and hydration according to guidance, and care plans were regularly reviewed and updated to ensure safe, effective, and personalised care.

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 were kept up to date on any changes in people’s needs so they could give the right support. They took part in handovers to share important information and stay abreast of any updates. Staff knew each other well and described having good working relationships. People had communication plans that clearly described how they communicated using different methods and how staff should support effective communication. This included guidance for staff when working with other professionals and during hospital visits to ensure people’s communication needs were consistently met.

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 helped people live as independently as possible. They referred people to healthcare professionals when needed and went with them to appointments. Records showed that people attended important checks, such as dental visits and GP health reviews. A staff member told us, “Every Wednesday we have a residents meeting, and they discuss a menu and each group of residents has a day they have a traditional meal, Caribbean, Indian, English. They take part in exercises, bowling and swimming.”

People received the support they needed to stay healthy, with care plans in place to guide this. Relatives said staff helped people remain independent, make their own choices, and continue living safely in the home and community.

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 regularly checked people’s health and wellbeing and acted quickly when anything changed. A person told us, “Staff do a good job. They are very good at their job [monitoring] and work hard.” They kept clear records, which helped support good physical and mental health.

The provider worked with specialists to help people manage their wellbeing and improve their overall health. Staff included healthy eating, menu planning, personal hygiene and outings in daily routines, which helped people grow more confident and take part in more activities. A relative told us, “Activities, if [person] is happy than that's all that matters. [Staff] do take [person] out. They go out to church, shopping. [Person] does all things they want to do.” These actions led to clear improvements in people’s physical and mental wellbeing.

Quality checks made sure care provided remained safe, suitable, and consistent. Staff were provided regular updates and guidance so they could continue meeting people’s needs. As a result, people received high‑quality, personalised care that improved their health, wellbeing, and quality of life, supported by a culture of ongoing monitoring and improvement.

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

People said they gave consent for staff to provide their care. Staff helped people make their own decisions wherever possible. A staff member told us, “We give them choice to choose what they want to do.” Care records showed what decisions people could make independently and where they needed extra support, such as with money, medicines, or personal care.

The provider had a Mental Capacity Act 2005 policy to guide staff in protecting people’s rights to make their own choices. A staff member told us, “We assume capacity unless deemed other wise and you have to act in their best interest.” When needed, the registered manager completed mental capacity assessments and held best interests meetings to ensure decisions were made safely and lawfully.