Kingston 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 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.

The service had systems to assess and identify people’s needs before they moved in. As part of the assessment process the registered manager and staff normally met with people prior to them moving. Where limited information was available from previous care providers, the service engaged with people’s family members to gain an understanding of the person’s needs and expectations. Information gathered during the assessment process and during the person’s transition into the service formed the basis from which people’s care plans were developed.

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 provided person centred care and valued people’s skills and experience. Care plans accurately reflected people’s needs and interests and were sufficiently informative to enable staff to meet those needs.

Staff had sought advice from involved health professionals on how to support people to develop new skills and access new activities. This information had enabled one person to access new exercises that they particularly enjoyed.

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 service worked with health professionals effectively. Information and concerns were shared promptly, and any advice provide acted upon. Details of people’s individual support needs and preferences were shared with the NHS, and staff had been able to support people during hospital stays. This enabled staff to advocate for people and helped ensure people’s needs were recognised and 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 supported and encouraged people to exercise regularly and equipment was available to enable each person to access exercise tailored to their individual support needs. Records showed people were regularly supported on walks in the local community.

People were involved in meal preparation and encouraged to make healthy meal time choices. People enjoyed helping in the kitchen and care plans included clear guidance for staff on how to support people when eating.

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.

The registered manager reviewed and audited people’s care records to ensure support had been provided as planned. This process had recently identified improvements were required in relation to the quality of record keeping about activities. During our review of care documents, we noted the quality of these records had subsequently improved and now included more detail of which activities people had been offered and what they had engaged with. This meant care records now provided a more accurate picture of the support each person had received.

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

Staff offered assistance and sought people’s consent before providing support. Staff understood people’s communication and responded positively to their requests. Staff respected people’s decisions and told us, “[Person’s name] will choose when to go to bed, it's up to [them].”