Archived: Clifton 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.

At our last inspection we rated this key question requires improvement. At this inspection the rating has changed to 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. Care plans were personal to the individual and based on their needs and preferences. One person said, “I do think that they know what they are doing when they look after me.” Staff were knowledgeable about those they supported and were aware of any recent changes and how to adapt their support to ensure they met people’s needs.

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. People’s individual care plans included assessments using recognised best practice tools. For example, mobility, diet and nutrition. These assessments accurately recorded people’s needs and wishes for support and were reviewed regularly or if there was a change in personal circumstances.

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. People told us the staff worked well with other healthcare providers to ensure they received a positive outcome. One person said, “I see the district nurse, optician, the hairdresser and I have had hearing tests.” They went on to say staff support them by passing on important information to other healthcare partners, so they don’t have to as they sometimes felt they forgot the important things. They found this reassuring and took some pressure for remembering everything from them. This supported people to receive safe and continuous care.

The service supported people to manage their health and wellbeing to maximise their independence, choice and control. People were supported to live healthier lives through regular access to health care professionals such as their GP's. All those we spoke with told us they were referred for additional support without any delays if they needed it. The management team monitored changes in people’s wellbeing. For example, unexplained weight loss. Any concerns were acted on for example, referral to GP services for advice and guidance.

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. When it was required, the service monitored people’s individual health changes to identify if any additional support was required. For example, 1 person was identified as having a ‘borderline’ health condition. Staff worked with the person to promote a healthy lifestyle whilst keeping medical professionals informed of any changes in their health which could result in follow up medical support.

The service told people about their rights around consent and respected these when delivering person-centred care and treatment. Everyone we spoke with told us they agreed for the care and support they received. Where necessary the provider had procedures in place to engage people with legal authority or responsibility to make decisions within the requirements of the Mental Capacity Act 2005. This included the duty to consult others such as carers, families and/or advocates, where appropriate. Where it was needed the provider completed appropriate applications in line with The Deprivation of Liberty Safeguards (DoLS). This is a legal framework under the Mental Capacity Act 2005 to safely support people where there is a requirement to restrict their liberty.