Rotherview

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 as good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 67 (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 consistently ensure people’s care and treatment was effective by reviewing their health, care, wellbeing and communication needs with them. People's needs were assessed and care delivered in line with the assessments. Analysis was taking place of peoples care needs but the information was not used to make the required updates, or changes to people’s records. One person had been displaying distressed behaviours however they did not have a behaviour support plan in place to help give consistency to staff when supporting the person through distressed periods. We discussed this with the management team who agreed clear guidelines were needed for staff to follow. People, and those important to them, were involved in reviews about their support.

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.

The service delivered care and support in line with best practice guidance. People’s nutrition and hydrations needs were met. People were given choices each day of what they would like to eat for their meals. They had the opportunity to develop their skills within the kitchen and there was a menu on display in the kitchen to show people what the evening meal was. Staff monitored people’s wellbeing and encouraged healthy choices. One relative told us, “They all have a choice, they sit and have a meeting to choose and if they don’t like it, they have something else instead.”

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 worked well with external professionals to ensure transitions were well coordinated and planned in line with people preferences. The provider had a process in place to escalate health concerns and records confirmed health professionals were involved in people care. People had information about their health available to them in ways they could understand. The management team told us they worked closely with health and social care professionals to ensure people’s needs were met.

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.

Staff supported people to access healthcare professionals to manage their general health. They recognised the importance of oral health on people’s well-being and supported people to access the local dentist. People were supported to attend medical appointments and advice received was adapted into their care plans. Staff also helped people make informed choices about their health, adapted activities to individual needs, and provided emotional support to build confidence and independence. By creating a supportive and inclusive environment, staff empowered people to take more control over their own health and well-being.

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.

The provider had a robust approach to monitoring the effectiveness of people’s care, treatment and action was taken to continuously improve it. Staff monitored and evaluated outcomes related to people’s health and quality of life. Staff worked with people to achieve established goals. Staff actively encouraged social interaction by facilitating group activities, supporting friendships, and organising outings to local clubs, events and social activities.

The provider did not always tell people about their rights around consent and did not always respect their rights when delivering care and treatment.

Appropriate records were not always completed for gaining people’s consent. For example, people’s consent to financial decisions had not been recorded by the provider. This meant the provider could not evidence that people were involved in decisions around their care and treatment. We spoke to the provider about this who agreed to take immediate action.

Staff understood the Mental Capacity Act 2005 and Deprivation of Liberty Safeguards (DoLS) and supported people with day-to-day choices; We observed staff asking people for consent and offering them choices in aspects of their lives as they supported them.