Grays Riverside

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. This is the first assessment for this newly registered service. This key question has been rated 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 registered manager explained how a pre-assessment process was completed before any new service user began receiving care. Assessment documentation was received from commissioning bodies. Where the service identified it could meet the individual’s needs, the registered manager would arrange to meet with the person and, where appropriate, their family. If all parties agreed the placement was suitable, care plans and risk assessments were developed and shared to ensure care was delivered in line with the individual’s needs and preferences. Assessments were kept under review, with systems in place to identify and respond to any changes in the person’s 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.
A detailed nutrition and hydration care plan was in place. Care records reflected staff were delivering care in line with this plan. At the time of our inspection, we did not observe the service working with other healthcare professionals. We contacted relevant professionals for feedback; however, no responses were received.
 

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.
All relevant staff could access the information needed to understand people’s needs and deliver safe, effective care. Staff told us the care plans and risk assessments were clear and detailed. One member of staff said, “We have time to go through care plans. We review them every week and make adjustments to ensure they remain person-centred.”
 

The provider supported people to manage their health and wellbeing to maximise their independence, choice and control. Staff supported people to live healthier lives. A relative explained to us how the service demonstrated a proactive approach to understanding changes in the person’s health. When a concern was identified, staff carried out research to better understand the cause and used this to inform and improve the care they were providing.

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 care plan provided clear guidance for staff on monitoring the person’s health and wellbeing. It outlined the person’s normal baseline observations and included a red, amber and green (RAG) system to identify early warning signs, with guidance on how staff should respond at each stage.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. The care plan contained relevant best interest decisions and provided detailed information about the person’s age related mental capacity. It clearly outlined how decisions were made in the person’s best interests and who was involved in this process. Guidance was included to help staff understand how to support the person in line with their capacity, ensuring care was delivered in a person-centred way.