Roseside

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 inadequate. At this assessment the rating has changed to good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

At the last inspection we found the provider was in breach of regulation in relation to assessing needs. At this inspection we found the provider was no longer in breach of regulation.

At the last inspection we found the provider was in breach of regulation in relation to delivering evidenced based care and treatment. At this inspection we found the provider was no longer in breach of regulation.

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, well being and communication needs with them.

People’s care plans contained information on people’s clinical risks and the monitoring they required and demonstrated people’s needs had been discussed with them. This is important as care plans should be developed collaboratively, focusing on what matters most to the person. Care plans were regularly reviewed to ensure they remained effective and relevant to people’s care and support needs. People’s relatives told us they felt involved and informed about their loved one’s care and support. One relative told us, “We are involved and totally consulted about any changes to [Name’s] care.”

A pre-admission assessment process was in place to help ensure the service were able to meet and plan for people’s health and care needs before their arrival.

We were assured the provider planned and delivered people’s care and treatment with them, including what was important and mattered to them, in line with legislation and current evidence-based good practice and standards, however, daily recording of people’s care required some improvement.

For example, for one person who was limited to the amount of fluid they could consume per day, on some days, records indicated the person had been offered fluid in excess of this amount. Although records confirmed the person had not drunk in excess of their limitation, records made it difficult at first glance to confirm whether the person’s intake was accurate. For another person, their care plan specified they should be sat upright for 30 mins pre and post intake, but this was not always recorded in the daily notes when diet was provided. Although people had not suffered any negative impact, this aspect of recording and monitoring required improvement.

People were weighed regularly and medical advice sought if people’s dietary intake significantly reduced and/or increased. For people at risk of malnutrition/on a specialised diet and/or fluids, heir dietary intake was recorded on food and fluid charts, to help ensure their dietary and fluid intake was accurate and in line with the standards specified in the Index of International Dysphagia Diet Standardisation Initiative (IDDSI) (where applicable).

Feedback from people and their relatives about the quality of food was neutral, people described the food as being “OK” and “All right.” A relative told us, “The food looks great when it comes out, and [Name] seems to enjoy it."

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.

During our inspection, we observed staff worked well together to help deliver people’s day to day support. Comments from staff included, “We get on and work well together” and “There is good teamwork here. People’s relatives were also keen to tell us they felt staff worked with them as part of a team to provide good care. One told us, “I feel we can communicate well with staff and we work well together as a team to look after mum."

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.

We saw examples of how staff had supported to live healthier lives. For example, one person had been supported to make more balanced food choices to help maintain a healthier weight, which had a positive effect on their health and well-being.

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 care was monitored. This meant staff were better able to identify areas where improvements or changes to people’s care and treatment could be made to help better their outcomes.

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

People’s care records evidenced people had consented to all aspects of their care and support, in line with the key requirements of the Mental Capacity Act 2005(MCA). Mental capacity assessments were carried out to ensure everyone had the support they required to be able to express their views and wishes and were actively supported in decision making at all times.

A psychologist worked with the home once per month to help further develop staff’s knowledge and to help ensure the best possible practices which adhered to the principles of the MCA were followed.

We observed staff asking for people’s consent prior to delivering care and support. This was also confirmed by people. One person told us, “Yes, they [staff] always ask before doing anything.”

For people who wanted it, the provider was able to facilitate support from an external advocate. An advocate is an independent professional who helps people understand their rights, make decisions, and ensure their wishes are heard.