Yohden Hall Care Complex

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 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 ensuring staff accurately assessed and reviewed their health, care, wellbeing and communication needs. People’s needs were assessed prior to them being offered a place at the service. Care plans created from the initial assessments were developed and reviewed with the person, and where appropriate their families or friends. Reviews took place when people’s needs changed and care plans were updated to reflect this. Referrals were made if the review indicated the person would benefit from the support of healthcare partners such as dieticians or occupational therapists.

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. Nationally recognised tools were used to monitor health and wellbeing. Systems were in place to record and monitor people’s nutritional health and preferences. In some cases we saw gaps in these, which we discussed with the registered manager who told us action would be taken to review and address this. People spoke positively about eating and drinking at the service. One person told us, “The food is lovely home-made stuff, and a choice.”

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. Handovers were in place between day and night shifts to ensure staff had the latest information on people. Staff worked closely with other teams, such as GPs, specialist doctors, specialist nurses, pharmacists, dieticians, podiatrists, and dentists, so people had joined-up consistent care. A relative told us, “[Named person] sees the community dentist, sees the GP and any regular medical staff.”

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. In most cases people’s medical care plans were detailed and included information about their physical and mental health care needs. However, for some people we saw additional information on their medical conditions was needed in their plans. We discussed with the registered manager who told us action would be taken to review and address this.

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 both clinical expectations and the expectations of people themselves. Through a combination of staff approach and person-centred care plans, people’s wishes and goals were supported to ensure people live as independently as possible. Leaders reviewed and monitored the progress of people’s outcomes to ensure they were meaningful and up to date.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. People can only be deprived of their liberty to receive care and treatment with appropriate legal authority. In care homes this can be done through a procedure called the Deprivation of Liberty Safeguards (DoLS), which is part of the Mental Capacity Act 2005 (MCA). We checked whether the service was working within the principles of the MCA and how they managed DoLS within the service. DoLS authorisations were in place for people where appropriate.Where they were able to people consented to their care, which helped to ensure they remained in control of their lives.