Adeline House Care Home

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 62 (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 prior to them moving into the home to ensure they had all the correct equipment in place to meet people’s needs. Following these initial checks, care plans were devised and reviewed every month to ensure they reflected people’s changing needs. However, we asked relatives if they felt involved in care planning and reviews of care. One relative said, “No, I want to be more involved as [family member] tells me things and I need some more clarity. I will arrange a meeting.” Another relative said, “No not really [involved], I have seen it [care plan] but they [staff] don’t say much.” Another relative said, “[Family member] has not had a shower for 2 weeks as they haven’t got the right equipment.” We asked the manager about this and were told a referral had been made to appropriate professionals. The manager us they had introduced new systems to ensure people were more involved.

The provider did not always plan and deliver people’s care and treatment with them, including what was important and mattered to them. We observed staff to be kind and caring and there was a pleasant atmosphere within the home. Although, we carried out observations during mealtime and found the experience could be improved. There was little engagement between staff and people, and the mealtime was very task focused.

The provider worked 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. However, external professionals raised concerns regarding malnutrition and wound care and told us improvements could be made in these areas. Handover meetings took place to ensure staff were informed of important events and to gain an update regarding any changes to people’s care and support.

The provider supported people to manage their health and wellbeing, so people could maximise their independence, choice and control. Staff supported people to live healthier lives, and where possible, reduce their future needs for care and support. The management team were knowledgeable about ensuring people accessed healthcare when required. Care documentation evidenced that professionals had been involved in people’s care and care plans were updated to ensure advice was recorded. The clinical lead guided and supported staff to ensure people received appropriate support and oversaw weight audits and pressure care audits.

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. People's desired outcomes were included in their support plans. The management team and staff had supported 1 person to improve their skills which had led to them moving to a more suitable placement which met their specific needs.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. People had care plans in place to record mental capacity and the support they required around decisions. Staff we spoke with understood the importance of seeking people’s consent prior to carrying out tasks.