Netherclay House

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

People’s health, wellbeing and communication needs were assessed before they received support. These assessments considered people’s histories, preferences and levels of independence. Staff used recognised tools to assess risks and needs, and information was kept under review to ensure plans reflected any changes. People and relatives were involved in assessments, and staff used these to guide care.

The service 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 plans were detailed and guided staff to deliver safe, personalised support. Staff understood people’s conditions and used guidance appropriately. People told us staff understood their needs and checked in with them regularly. Records showed staff monitored nutrition, hydration, mobility and skin integrity using evidence‑based tools.

The 2 dining experiences we observed were positive, with people consistently praising the quality of food. One person described the meals as “11 out of 10.”

The service 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 shared information promptly through handovers and daily communication. They worked in partnership with health and social care professionals to ensure people received the right care at the right time. Staff described good communication within the team and said information about people was clear and easy to access.

The service supported people to manage their health and wellbeing to maximise their independence, choice and control. The service supported people to live healthier lives and where possible, reduce their future needs for care and support.

Staff encouraged people to remain as independent as possible and promoted healthy choices. People were supported to attend appointments, manage long‑term conditions and engage in activities that supported their wellbeing. Staff were proactive in noticing changes in people’s health and seeking professional advice.

The service 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.

Through the “resident of the day” process, staff regularly reviewed people’s care plans, risk assessments and health‑related records. Where monitoring identified concerns, such as changes in people’s weight, mobility or skin integrity, staff took timely action. The service used audits and reviews to check the effectiveness of care and made improvements when needed.

The service told people about their rights around consent and respected these when delivering person-centred care and treatment.

Staff understood their responsibilities under the Mental Capacity Act 2005 (MCA). They sought people’s consent and respected their choices. Where people lacked capacity, decisions were made in their best interests with input from relevant professionals and those who knew them well. Staff understood the importance of supporting people to express their wishes.