Malden 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 outstanding. At this assessment the rating has changed to 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. Prior to moving into the service people’s needs were assessed. Care records detailed how staff should support people. Reviews of needs take place regularly and were communicated to the team. Relatives told us they were involved in care planning and reviews. One relative said, “I was involved in his care plan, and can always speak to the manager if any changes need to me made. They listen to me if I have anything to say.” Another relative said, “Yes, I have been involved with [person’s] care plan and when it is going to be updated they always ask me along.”

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. Care records reviewed showed people had input from health care professionals such as the GP, district nurses and the speech and language therapist when required. One relative told us, “The GP visits regular there, and I see when the nurse does the medication, she has a sign up do not disturb.” Communication between the service and other relevant professionals? was excellent. This meant people could be confident that their care needs or any new needs would be assessed and good practice guidance would be available to staff.

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. The registered manager told us they have good working relationships with health care professionals such as the GP and district nurse teams. Care records showed that any recommendations made were followed up by staff.

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. Care plans were clear and comprehensive. Staff had guidance available to understand people’s health needs. Routine monitoring of health needs was evident for example, communication with the dentist or podiatrist. Regular health care professionals visited the home when needed. Staff promoted people’s independence and created opportunities for people to be healthy for example by introducing fitness sessions.

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’s needs were monitored and changes were recorded. People were encouraged to be as independent as possible. For example, using equipment to aid mobility.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. We observed good practices around consent. For example, staff would ask and check with people before carrying out any care and support. Care records reviewed showed that mental capacity assessments and best interest decisions were in line with legislation. Relatives told us they were involved in people’s care planning and reviews.