Rockfield 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 71 (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 had communication care plans in place to support their individual needs and ensure they could participate in decision about their care.

However, specific care plans were not always in place to support people safely. For example, one person’s care plan did not provide guidance to staff to support their epilepsy needs.

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 were trained to use the Positive Behaviour Support (PBS) framework, a person-centred approach designed to support individuals, particularly those with learning disabilities or who are autistic. The framework uses evidence-based strategies to improve quality of life by promoting positive behaviours and reducing the need for restrictive practice. Staff were able to explain this approach and provided examples where its use had led to positive outcomes for 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.

For example, detailed hospital passports were in place to support smoother transitions for people accessing healthcare services. These passports improved communication between services and ensured care provided was person centred, safe, and reflective of people’s preferences.

Staff reported internal teams worked well together, bringing a mix of skills to support both people and each other. Internal teams included a psychologist and social worker.

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 make healthier food choices and maintain a balanced diet. One person described a weekly “Shop and cook” activity, whereby people took part in both shopping for and preparing meals.

People and their families told us staff supported them to access healthcare and attend medical appointments. Professionals provided positive feedback about the support offered to people.

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 provider maintained a log of person-centred positive outcomes, measured in a variety of ways. For example, for one person, this included supporting them to facilitate safeguarding training, while for another, it involved going to the shop. A positive outcomes board displayed in the home also highlighted these achievements, reinforcing the focus on individual progress.

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

Staff protected people’s rights by working in line with the principles of the Mental Capacity Act (MCA) 2005. Staff received training in MCA and Deprivation of Liberty Safeguards (DoLS).

Care records evidenced people’s capacity to consent had been assessed and where appropriate, decisions had been made in people’s best interests.