Clifton Gardens Resource Centre

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.

The last rating for this key question was requires improvement. At this assessment the rating has changed to good.

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

During our last assessment we identified breaches of a legal regulation relating to person-centre care. At this assessment, we found improvements had been made and the provider was no longer breaching this regulation.

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.

At our last assessment, we found people’s needs had not always been assessed or planned for. At this assessment, we found improvements had been made.

Managers assessed people’s needs when they moved to the service. They asked the person and their relatives about their needs and likes. They created care plans which reflected these assessments. Care plans were regularly reviewed and updated. People and their relatives told us they were involved in reviews.

At our last assessment, we found staff had not always had training to understand about people’s needs. At this assessment, we found improvements had been made.

The provider had introduced a new programme of training which included bespoke training organised by external professionals to learn about people’s individual needs. Staff told us training was useful and had helped improve their skills and knowledge. Managers organised for regular staff meetings to discuss best practice and for them to share their learning with others.

Staff worked well and shared information with each other. Staff told us there was good teamwork and they had regular handovers of information to discuss changes at the service. Staff communicated well with external professionals. They made timely referrals and asked for advice and support from other services. Comments from visiting professionals included, “[Staff] and I have a good relationship” and “This home is lovely, the staff are helpful, and they are good to work with.”

The provider sourced volunteers who helped to run social events and activities. A volunteer told us they had the information and support needed.

At our last assessment, some people raised concerns that healthcare needs were not being met. At this assessment, we found improvements had been made.

Staff worked with external professionals to assess, monitor and meet healthcare needs. Information about people’s health was included in care plans. People were able to see doctors and other healthcare professionals when needed. Comments from people using the service and their relatives included, “The doctor is here every Thursday. [They] are very good” and “Staff organised hospital appointments and take [person] if needed.”

People using the service told us they thought staff were good at managing health needs and keeping them healthy. They told us staff monitored their wellbeing and offered them healthy eating choices. Staff supported people to take part in regular exercise. The activities coordinator told us, “We start every morning with exercises. I break this down into 3 sections: stretching, warm up exercises and mental exercises. I have seen this improve people’s mood, give them more energy and increase happiness.”

Staff monitored people’s wellbeing and outcomes. When assessments had identified a person had a specific need, for example monitoring fluid intake, the staff recorded this and checked people’s needs had been met each day. Staff regularly weighed people and made referrals to external professionals when they were concerned about changes to their weight or appetite. Staff regularly reviewed care plans and updated these to reflect changes in people’s needs.

The GP working with the service explained they had provided training and guidance for staff on how to monitor people for infections. They said this was working well.

People consented to their care and treatment. Staff offered people choices. People confirmed these were respected. Managers assessed people’s mental capacity to make different decisions. When people lacked the mental capacity to make a specific decision, staff met with their relatives and other representatives to make decisions in their best interests.