Hylton 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 inspection we rated this key question good. At this inspection 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.

Staff at the service made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them. A staff member told us, “There is an initial assessment document for new admissions to ensure staff have information needed to give care and keep people safe.” Staff said there were effective systems in place to assess and monitor people’s needs. This included handover meetings between incoming and outgoing staff on shift and staff meetings. A staff member commented, “There is a handover and a huddle meeting in the morning where information is shared.”

Staff 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 ensured people’s health needs were monitored and they received a nutritious diet, which, when needed, followed dietitian’s guidance. The catering staff understood people’s needs and how to promote a healthy diet. Staff closely monitored people’s health and made sure they ate and drank well and were not showing signs of ill-health. A staff member commented, “Some people eat in the dining room, some prefer to eat at a different time e.g. a person likes to have a sandwich, so the kitchen staff will prepare a sandwich and leave it in the fridge or there are ingredients in the unit kitchen areas if someone wants to make their own sandwich.”

Staff at the service worked well across teams and services to support people to ensure they received timely, seamless and consistent care. They made timely referrals and worked very well with other agencies to ensure people's treatment needs were met. A professional commented, “I am of the view care staff in Hylton Grange make timely referrals with the persons I am actively involved with. They follow my advice and guidance when needed.” A staff member told us, “Staff work well together and help each other, there is a happy atmosphere.”

Staff always supported people to manage their health and wellbeing to fully maximise their independence, choice and control. Staff supported people to live healthier lives and where possible, reduce their future needs for care and support. Staff worked closely with other professionals and people and relatives told us they were supported to access health care. A person commented, “Staff get the doctor if I need it.”

Staff at the service monitored all people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they fully met both clinical expectations and the expectations of people themselves. A staff member commented, “We ensure people receive the care they need, we can monitor if people are getting the regular checks they require at different intervals. We receive a notification on our hand-held device if a care intervention is overdue or can check the system on the computer in the office.” Care plans were detailed, personalised and provided guidance to ensure outcomes could be met, which ensured people received safe and effective support. There was a system of regular review of risk assessments and people's care plans. Reviews were carried out regularly with people to ensure people's support and outcomes were monitored and in line with their wishes. A relative commented, “We went through the care plan, we have regular reviews.”

Staff 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 relevant information. Records captured all the relevant others involved in best interest decision making, where people did not have the mental capacity to give their consent.