The Grange, Liss

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.

People participated in their assessments and reviews. People had communication care plans in place and documents to take to hospital with them when required.

Staff and those who knew people well were also involved in people’s assessments to ensure their views and opinions were captured. Staff told us people’s views were sought during daily support and in key worker meetings with them.

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 used nationally recognised tools appropriately to assess and monitor people’s needs. For example, Recognise Early Soft signs, Take Observations, Respond and Escalate (RESTORE) was used to identify when people’s health was deteriorating and the Malnutrition Universal Screening Tool (MUST) was used to identify people at risk of malnutrition.

Staff ensured people had enough to eat and drink and where there was a concern in this area, staff had completed a referral to the relevant health professional requesting additional support. This prevented people’s health deteriorating.

People were supported to maintain relationships with friends and family through physical visits and by making phone and video calls, this enhanced people’s social skills and maintained their wellbeing.

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 provider had processes in place to ensure care and support was coordinated in the best interests of people using the service. This included collaboration with professionals and information sharing.

We sought feedback from professionals who worked closely with the service. Professionals told us the provider kept them informed and sought their advice. One professional told us, “They are quick to contact for support regarding any difficulties or concerns. They approached me recently to provide additional staff training which I recently provided. Whenever I visit or telephone, they are able to provide me with up to date information.”

People’s goals, dreams, and aspirations were always communicated so a consistent approach was maintained between services. The service was supporting people in line with the ‘Right support, right care, right culture’ principles.

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 records captured the support people required with their health needs and what action staff should take when there was any deterioration to an individual’s health. This meant there was early detection when people became unwell.

Relatives told us people were supported to lead healthy lives. One relative told us, “I am kept well informed about everything, whenever a medical appointment is made, I am told about it and after the appointment I am told of the outcome. They even send me photos of my loved one’s activities. My loved one is going on holiday this year, this is exciting.”

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 worked collaboratively to plan and deliver people’s care, reduce risks, and achieve best outcomes for people.

One relative told us, “The team are doing a sterling job. My loved one is building trust with the staff, they are coming out of themselves and they are not distressed. I would give the team a gold star. I know my loved one is in the right place”.

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

Where necessary, mental capacity assessments (MCA) were completed in line with the Mental Capacity Act 2005 and Best Interest (BI) meetings were held, following the MCA where the person lacked capacity.

A DoLS tracker was in place to ensure the provider knew when these needed to be reapplied for.

We reviewed evidence and observed staff gained people’s consent. Staff told us they always sought consent from people and explained what they needed to do to support the individual safely.