Ingleborough 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. 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.

Assessments were completed before support began and gave a clear picture of people’s needs, preferences and what was important to them. These assessments looked at health, emotional wellbeing, daily living needs and any risks or additional support people might require. Staff also considered people’s cultural and religious needs, including how their beliefs influenced the type of support they wanted and how they wished to be cared for day‑to‑day.

People, and where appropriate their relatives, were involved in discussing their needs and agreeing the support they would receive. People and their relatives told us they were involved in their care plans.

Assessments and care plans were reviewed regularly and updated whenever staff identified changes in people’s needs. Records showed clear notes describing what had changed, why, and who had been involved in the decision.

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.

The provider used nationally recognised assessment tools to support people and ensure their changing health needs were identified promptly, enabling timely intervention. Staff were trained and competent in monitoring people’s wellbeing, and they used tools such as the Malnutrition Universal Screening Tool (MUST) to assess nutritional risk and the Waterlow Assessment Tool to monitor skin integrity and pressure‑area risks.

Staff followed guidance and recommendations from the professionals involved in people’s care. This included acting on advice from GPs, community nurses, dietitians and specialist teams. Care plans showed professionals’ advice was clearly documented and incorporated into people’s day‑to‑day support, helping ensure care remained safe, personalised and clinically appropriate.

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 well with NHS and community professionals to make sure people received joined‑up support. Weekly multidisciplinary team (MDT) meetings included a wide range of professionals such as GPs (General Practitioners), Advanced Nurse Practitioners (ANPs), Speech and Language Therapists (SALT), dietitians, Community Psychiatric Nurses (CPNs), Occupational Therapists (OTs), district nurses and the Tissue Viability Nurse (TVN). These meetings helped everyone share updates quickly and agree the best way to support people.

Staff told us communication with external professionals was positive and that they felt comfortable asking for advice or raising concerns.

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’s care plans were detailed and provided clear information about their physical and mental health needs. They included relevant past medical history, outlined the potential effects of any long‑term conditions, and described the support people needed to help reduce associated risks.

Where it was appropriate, staff worked with external health and social care professionals to make sure people received consistent and well‑coordinated support.

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 monitored outcomes for people such as weight changes, falls risks, skin integrity and general wellbeing. This information was used to identify patterns and act early when needs change. Weekly reviews, daily handovers and nurse walk‑rounds supported staff stay up to date with how people were doing. People told us they felt this regular monitoring ma a difference to their day‑to‑day experience. One person told us, “I feel I’m well taken care of my choices and decisions matter so much in my daily life.” Relatives also said they felt reassured by the level of oversight, with one relative noting, “They look after [name] very well, she’s always clean and comfortable, and they tell me straight away if anything changes.”

Staff worked closely with healthcare partners, sharing updates and acting on professional advice so people receive the right support at the right time. Relatives told us they felt confident that concerns were addressed promptly, with one saying, “They [staff] support with appointments and keep me informed, there’s always something going on to keep her engaged.” Staff also described a shared commitment to improving outcomes, explaining, “We notice changes early and work with other professionals to make sure people get what they need.”

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

People told us they were involved in decisions about their care and felt their choices were respected. One person said, “I feel I’m well taken care of and they [staff] ask me what I want to do.” Relatives also reported they felt included and kept informed, with one sharing, “I am involved in care planning and they communicate with me.”

Staff explained they supported people to make their own decisions wherever possible and involve other professionals when needed. A staff member told us, “We notice changes early and work with other professionals to make sure people get what they need.” When someone was unable to make a specific decision, Mental Capacity Assessments were completed, and Best‑Interest decisions were made with the involvement of families and relevant professionals which were recorded in people’s care plans.