Carrington House Limited

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 inspection we rated this key question good. At this inspection, 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. People’s needs were assessed when they started using the service and they were supported to discuss their preferences, likes and dislikes as well as their support needs. Staff told us they were supported to get to know people when they started living at the service and updated care plans and the way they supported people based on what they found out about people. One person said, ‘‘[Staff] were lovely here from day one. [Registered manager] asked me lots of questions before I moved in.’’ A relative told us, ‘‘From my point of view it was a great experience for [family member] moving in and has got better since then.’’

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 management team stayed up to date with best practice in relation to supporting people and shared this with staff in meetings and supervisions. They updated people’s care plans where necessary and took feedback from visiting professionals seriously to help drive improvements at the service. One relative told us, ‘‘I feel that the [management and staff team] have people’s best interests at heart and are always trying their best.’’

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 told us they worked well together and shared information regularly to help make sure people had positive and consistent support. Staff worked well with other professionals to help people have positive outcomes in relation to their health. One person said, ‘‘[Staff] all seem happy, and we all have a good laugh together.’’ A professional told us, ‘‘Staff are quick and, on the ball, and notice any changes in people’s needs. They let us know straight away.’’

The provider supported people to manage their health and wellbeing and supported them to live healthier lives and where possible, reduce their future needs for care and support. People were supported to be healthy in ways such as eating and drinking enough and being supported to maintain their skin integrity. Staff knew how to support people with their needs, for example by preparing their food and drink in ways that were safe for them or supporting them to do exercises to stay healthy. Staff in charge of providing food and drink for people took pride in their work, cooking food from scratch and asking people if they enjoyed their meals. Despite some of our findings around the provision of food, people and relatives were positive about the food at the service. One person said, ‘‘There is plenty of food here and lots of choice. I love all the food, and it always tastes lovely.’’ A relative told us, ‘‘There is a great variety of food and [family member] has put on a lot of weight since being at the service.’’

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured that people’s health outcomes were positive and consistent. The management and staff team reviewed people’s care plans and records to help ensure they were being supported in line with their support needs. Staff knew people well and knew how they wanted to be supported. As a result, people had experienced good outcomes in relation to their health needs such as being supported to have good ski integrity and maintain healthy weights. One person said, ‘‘I feel great since I started living here.’’ A relative told us, ‘‘[Family member] has gone from strength to strength since living at the service and have got their personality back.’’

The provider told people about their rights around consent and respected these when delivering support. People were supported in line with the MCA. However, people were not always supported to have choices about meals or their pastimes as detailed in the Caring section of this report. Where people did not have capacity to consent to their support, assessments were completed and decisions were made in their best interest, with involvement from those who knew them well. One person said, ‘‘[Staff] are very polite here. They always ask if I am okay.’’ A relative told us, ‘‘I think the staff truly listen and respect how [family member wants to be supported.’’