Tees Grange

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 registered manager made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them.

Care documentation included an initial assessment of needs and evidenced people’s physical, health, wellbeing and communication needs which were regularly updated and reviewed.

People, their relatives and visiting professionals were given the opportunity to collaborate in the assessment and care planning process. One professional said, “Care plans are detailed; action is taken in a timely manner when people are unwell, and referrals made accordingly.”

The registered manager 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.

There was good oversight of people’s health needs including monitoring weight ranges and skin integrity due to the risks of developing pressure sores.

The registered manager told us how they worked with external professionals and carried out several assessments in relation to a person’s modified diet which allowed the person to enjoy their favourite meal.

The registered manager 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.

There was good oversight of people’s health needs including monitoring weight ranges and skin integrity due to the risks of developing pressure sores.

The registered manager told us how they worked with external professionals and carried out several assessments in relation to a person’s modified diet which allowed the person to enjoy their favourite meal.

Staff supported people to manage their health and wellbeing to maximise their independence, choice and control. People were supported with their physical and mental health. Support plans were designed around people’s mental health recovery and managing their symptoms and needs.

Staff worked closely with other professionals involved in people’s care to monitor and meet these needs. A health and social care professional told us about how the registered manager had worked with their client using a holistic approach including pet therapy, in-depth support planning, and regular access to the community to improve their quality of life and reduce overly restrictive practices.

The registered manager routinely monitored people’s care and treatment to continuously improve it. They ensured outcomes were positive and consistent, and that they met both clinical expectations and the expectations of people themselves.

Care plans were personalised so outcomes could be met ensuring people received safe and effective support. Risk assessments and care documentation were part of the audit plan and reviews were carried out regularly to ensure people's support and outcomes were monitored.

The provider focused on continuous improvement of people’s care and treatment by using company champions in relation to, nutrition, mental capacity, sexuality and dignity.

The registered manager told people about their rights around consent and respected these when delivering person-centred care and treatment. Assessments were carried out around people’s mental capacity, and care records contained all relevant information and were documented in line with guidance.

For people who had fluctuating capacity to make more complex decisions, staff had made decisions in their best interests in consultation with others and had obtained the correct legal authorisations for these decisions.