Elwick Grange

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 assessing and reviewing their health, care, wellbeing and communication needs with them.

People’s care and support needs were assessed before they moved into the service. The information gathered was used to develop person‑centred care and support plans that clearly described each individual’s needs and how they wished to be supported. These plans were reviewed regularly and updated when people’s needs changed.

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

The registered manager used clinical assessment tools to assess, monitor and review people’s needs and levels of risk. A healthcare professional said, “They monitor their residents very closely and seek advice immediately if any changes noted to their presentation.”

All staff (including kitchen staff) were aware of people’s specific dietary needs and how to support people to remain safe.

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.

Staff worked effectively to ensure people’s needs were met. The registered manager reported positive working relationships with external healthcare professionals. A visiting healthcare professional stated, “Staff recognise changes in people’s needs and any deterioration at their end of life and request support in a timely manner.”

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.

Staff supported people to access healthcare professionals to manage their general health. During the inspection, people received eye examinations conducted by a visiting optician. Staff recognised the importance of oral health on people’s well-being and care plans clearly outlined people’s support needs.

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.

The provider had a comprehensive and systematic approach to monitoring the effectiveness of people’s care and treatment, ensuring continuous improvement. Staff routinely assessed and evaluated outcomes relating to people’s health and quality of life, and supported people to work towards and achieve their identified goals.

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

The service adhered to the requirements of the Mental Capacity Act 2005 (MCA). Where Deprivation of Liberty Safeguards (DoLS) authorisations were in place, these were clearly recorded, and outstanding applications were appropriately followed up to ensure people’s rights were upheld.

Staff sought consent before providing any care or support. They explained planned actions, provided choices, and respected people’s decisions, ensuring care was delivered lawfully and in a way that promoted each person’s autonomy.