Aston Manor EMI Residential Home

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.

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 did not always make sure people’s care and treatment were effective because they did not always check and discuss people’s health, care, wellbeing and communication needs with them. Assessments were carried out regularly and care plans generally reflected people’s care needs, some detail regarding people’s current needs and preferences required updating. For example, one person preferred a restrictive morning diet which was not recorded. Staff knew people well and understood people’s individual needs. When required referrals were made to health professionals such as district nurse or GP. One relative told us, “‘The GP is called promptly when needed and I’m told’.

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.

Care and support followed recognised guidance. People were supported well at mealtimes, we observed a flexible approach to support their individual needs and preferences. For example, one person chose not to eat their lunchtime meal, staff offered options with kind and considered conversation to ensure a solution was found and the persons distress was momentary. Staff demonstrated they knew the specific dietary requirement for individuals well. One staff member told us, “I am involved, I make time”.

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.

There was an unexpected shortage of staff on the day of our visit, we observed staff teams demonstrating a good understanding of people’s individual needs and clear communication between staff meant people’s needs were met and people were safe. Staff told us they worked well together. Comments from staff included, “ Everybody seems to get on and back each other, work together” and “We work well together”.

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.

Information regarding people’s individual dietary and nutritional needs was clear and displayed in the kitchen and dining room areas, and in care plans, this ensured that all special diets and supplements were provided as required. Staff encouraged people to stay active, and people had choice to participate in meaningful activities. One person told us their relative was able to safely walk around as they wanted and activities supported improved health and wellbeing.

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 tracked progress against agreed goals and adjusted support as needed. Systems were in place to review the effectiveness of care and implement changes promptly when required. Staff told us about the improvements that had been made since our last assessment. Comments included, “Everything is now recorded, that's another thing that is rectified, all food and liquids are itemised for every meal for every person” and “It's working really well, everybody is doing it well and right”. One relative told us about how a change in diet had supported weight management for an individual, there was a commitment to monitoring this to ensure positive outcomes were maintained.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment.Consent was obtained before care was provided, and recorded in care plans staff had training and demonstrated they understood the Mental Capacity Act (2005). One staff member said, “It’s best to talk to them and don't go firing in, we talk to them and you have to do that”.