Martin 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.

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’s needs were assessed before they started using the service. Care was planned according to their individual wishes and care plans, with both the people receiving care and their loved ones actively involved in the assessment process. A relative told us, “We were very involved with her care plan when she arrived. They were very careful to find out exactly what her needs could possibly be.”

Care was planned to reflect people’s wishes and preferences for how they wanted to receive support. Assessments considered each person’s health, wellbeing, care and communication needs, ensuring they received care aimed at achieving the best possible outcomes. Care plans clearly documented the support required in these areas. Assessments were kept up to date and regularly reviewed, helping staff understand and respond to people’s current needs effectively.

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.

People were actively involved in planning their care and support. Care plans accurately reflected their individual needs and were personalised to include clear information about how they wished to receive their care.

People’s hydration and nutritional needs were assessed, supported and met. Any specific dietary requirements were clearly recorded within care plans to ensure staff understood the support required. Care plans were reviewed regularly and updated when changes occurred.

One staff member told us, “We have a dietary assessment which is a food profile, nutritional risk assessment. We can ask people their preferences. If they have care, this would be in their care folder.”

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.

Staff had access to the information required to effectively assess, plan and deliver people’s individual care and support. One staff member said, “We work alongside district nurses, GPs, dietician, physiotherapy, pharmacist, Paramedics, as and when needed depending on the person's health situation. We document people’s care needs in individual care plans and event logs.”

The registered manager explained that people’s care plans would be available should they be admitted to hospital.

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 were supported by staff to manage their health and wellbeing, while also promoting and maintaining their independence wherever possible. People and their relatives told us they were involved in regular reviews of health and wellbeing needs, ensuring care remained appropriate and responsive to any changes.

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 involved people in planning their care and support, ensuring their views and preferences were reflected in how care was delivered. Care plans were reviewed and updated regularly to reflect any changes in needs. People were supported to live in the way they chose and to take part in activities they enjoyed, promoting independence and wellbeing. One relative told us, “I have been totally involved in their care plans, from the beginning onwards. [Person] was unwell about a year ago and they were brilliant. Within a day, a new care plan had been put into place, and we all knew what we were doing and worked accordingly.”

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

The provider was working in line with the Mental Capacity Act. There was a policy in place and training for all staff. At the time of assessment everybody receiving a service was able to consent to their care and treatment. A staff member explained their understanding of mental capacity saying, “People are supported to make choices and decisions about their care by being person centred and getting them involved in their own care. We don’t assume they don't have capacity until it’s proven by professionals. We encouraged people to make their own decisions even if its unwise.”