Cranbrook 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 assessment we rated this key question Good. At this assessment the rating has remained as 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.

A pre-assessment of people’s needs was carried out to determine if the service could support people’s needs safely and effectively through capturing key information on support needs and risks such as those associated with health conditions, support required, preferences and level of independence.

People’s choices and preferences were included as part of assessments. A staff member told us, “While making care plans, it is written with the person, so they are always involved. We always give them choices on how they liked to be supported.”

The nominated individual and staff told us that people’s needs were assessed regularly to ensure they always received personalised care. Records showed the service assessed people’s needs regularly in a number of areas such as cognitive, sensory and mobility assessments to ensure the care they received, reflected their needs and were personalised.

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 good practice and standards.

People received evidence-based care and treatment. The management team told us people's care was based around what was important to them and according to their preferences to ensure evidence-based care and treatment could be delivered. People had allocated key workers, and regular meetings were held to assess people’s needs and identify people’s goals and preferences to care.

Care plans included the support people required with care and treatment. Feedback was sought from people and staff through meetings and reviews to ensure evidence-based care and treatment was delivered.

The provider worked well across teams and services to support people.

The service worked in partnership with other agencies such as health and social professionals if people were not well, to ensure people were in the best of health. People’s GP, social worker and physiotherapist details were recorded on their care plan. Records also showed people were supported to attend GP appointments and hospitals when needed.

Daily notes were completed after care was delivered to people, which included tasks completed and wellbeing of people to ensure continuity of care. A staff member told us, “We all work together as a team to make sure people are well cared for. I have a good relationship with everyone.”

Staff told us they worked well with each other and external services and were supported by management.

Staff monitored people's health and welfare and reported any concerns to the management team who made referrals to health care professionals where required. A hospital passport was in place that included people’s background, care needs, health condition and medicine records to ensure people received continuity of care.

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.

People were supported to live healthier lives. The service carried out assessments on people’s care and health to ensure they could be supported to live healthier lives.

The management team and staff told us that people were always supported to live healthier lives. This included supporting people to go out in the community, encouraging people to eat well and promoting independence. Records showed a person was supported to volunteer for community events. A person told us, “I like going to the gym when I want to.”

Health action plans were in place that evidenced people were able to access health services such as dental, GP’s and hospital appointments to ensure they were in the best of health.

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent.

Reviews were carried out regularly to ensure people’s support and outcomes were monitored. Audits were being carried out, to ensure people received personalised care according to their needs to ensure there was a cycle of improvement and improving outcomes for people.

Where needed, referrals to health care professionals such as GP’s and hospital were completed and this was recorded on people’s health action plan.

The nominated individual and staff told us people’s outcomes were always monitored through reviews and feedback. During reviews, care needs were discussed to improve outcomes.

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

Systems were in place to obtain consent from people to provide care and support. An MCA policy was in place and staff had been trained on the MCA. MCA assessments had been completed to check if people had capacity to make certain decisions.

Staff told us that they would always request people’s consent where possible before doing any tasks. A staff member told us, “The consent is the first thing we need to ask, we learnt in our training. Consent is a must.”