Outram Fields

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 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. People and their relatives were fully involved in the care planning process and in subsequent reviews. People’s care plans were person-centred and contained essential information about people’s preferences, support needs and communication requirements. Plans were kept updated as people’s needs changed and reviewed regularly.

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. Staff delivered care in line with best practice. At mealtimes, people had a choice of menus and could order off menu if they wished to do so. Information regarding people’s nutritional needs, for example modified diets and allergies was clearly documented and understood by the chef and catering staff.

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. Records evidenced that information from professionals was documented within care plans and followed by staff. People were supported by a staff team who knew them well and understood their needs. Where people required the support of health and social care professionals, appropriate referrals were made. Feedback from professionals regarding working with the service was positive. A professional told us, “They always respond to emails and answer the phones, they ensure there is a suitably qualified member of staff available for professional visits.”

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. The service worked well with health and social care professionals, for example a regular ward round took place and appropriate referrals were made when required. Where suggestions were made to the service about health promotion, managers and staff acted upon this. For example, professional advice was given regarding reduced caffeine intake as a potential support for falls reduction. The service had adopted a caffeine-free approach to their tea and coffee, this change was made following discussion with people who live at the service.

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. Records evidenced that people’s physical health and emotional well-being was monitored by staff, and where concerns were identified the service worked to improve outcomes for people. For example, where people were found to be underweight or losing weight, the service worked with the person to achieve healthy weight gain.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. Staff and managers understood their responsibilities relating to the Mental Capacity Act 2005 (MCA). The MCA requires that, as far as possible, people make their own decisions and are helped to do so when needed. Records evidenced that assessments of people’s capacity to consent to care and treatment were undertaken and where people needed support to make decisions, this was provided. Staff understood the importance of promoting choice. A staff member told us, “I believe it’s what we all do as staff in general, from food to clothes, we always try and support people to choose.”