Rangeford Care - Wadswick Green

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 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 made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them.

Leaders could demonstrate they engaged with people and their families to ensure people’s needs were assessed and reviewed as required. Staff assessed people’s needs before support began and reviewed these when circumstances changed. Staff considered people’s routines, preferences and communication needs, and used this information to shape support plans. People told us assessments reflected what mattered to them and supported their independence.

Records showed staff gathered detailed information about people’s health, wellbeing and risks, and updated assessments when people requested additional help or when their needs increased. Managers monitored changes to ensure support remained appropriate. Observations and people’s feedback confirmed staff used assessments to understand how people wanted tasks completed and adjusted support when needed.

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 were delivered in line with recognised guidance and people’s assessments. Support plans were detailed and person‑centred, and staff were able to describe how to meet people’s needs. Digital systems helped staff record and review information consistently, which meant practice was informed by accurate and current documentation.

People told us staff understood their routines and preferences and checked whether they needed anything else during visits. Staff described how they adjusted care when people’s needs changed, such as increasing support when someone’s health deteriorated.

The provider did not always work well across teams and services to support people.

Managers described working with other services and professionals when needed, and people experienced predictable routines and continuity of care. However, information was stored across 2 different systems, this made it difficult for staff to be able to easily access relevant information for people in a timely way.

People generally experienced coordinated care, but the service needed stronger systems and oversight to ensure this was reliably achieved. The new registered manager had identified theses improvements and had a plan in place to ensure the service developed more robust oversight.

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.

People were supported to continue activities which were important to them, including attending community groups or maintaining routines that mattered. Care plans reflected people’s preferences and supported healthy daily living, such as prompting with medicines, supporting mobility or encouraging routines that promoted wellbeing.

Staff described how they helped people access additional support when their health changed. People told us staff listened to them and offered extra help when needed, which supported their independence and quality of life.

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 the expectations of people.

Leaders described how they monitored changes in people’s needs and adjusted packages of care to reduce risks, for example when people required more support or their health needs increased. Feedback from people and staff was used to inform priorities, supporting ongoing development of practice.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. Mental capacity assessments were completed for people as needed.

People were supported to make decisions about their care, and staff understood consent and provided support in line with people’s wishes. People told us staff checked what they needed during visits and ensured tasks were completed how they preferred.

Staff described how they sought permission before offering support and adjusted their approach when people declined help or requested additional care.