The Royal

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 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 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’s care plans were person-centred and clearly identified how care should be delivered in line with people’s wishes. Care plans were reviewed regularly to ensure they reflected people’s assessed needs.

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 provider offered people a varied menu of food choices and people enjoyed the food served at mealtimes. Some people required additional support with their nutrition and hydration and their needs were met in line with the information set out in their care plans. One person told us, “I can eat either in my room or in the dining room. I prefer to eat in my room I don’t like the dining room. The food is alright, I get a choice.” Another person told us, “We have breakfast, dinner and tea, it’s nice. You get plenty and you can have extra if you want it. I go to the dining room, I like to eat in there with the others.”

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. People’s care notes were recorded clearly and accurately which supported continuity of care between different teams of staff. There were regular team meetings where key service updates and information about people’s changing needs were shared.

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. Key information about people, including their weight, was recorded and reviewed regularly. Where people needed specialised support, for example from speech and language therapy services, timely referrals were made. This ensured people were supported to live healthier lives.

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured outcomes were positive and consistent, and met both clinical expectations and the expectations of people themselves. Information about people’s care and support was recorded and maintained accurately. Where people needed specialised support, referrals were made to the appropriate health and care services.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. People were asked about their consent to care and support and their decisions recorded. People’s capacity to make decisions was reviewed under the Mental Capacity Act 2005 (MCA) and where people lacked capacity, decisions were made in people’s best interests. We found the service was working within the principles of the MCA and if needed, appropriate legal authorisations were in place to deprive a person of their liberty.