Excellent Health Care

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.

We assessed a limited number of quality statements in the effective key question and found areas of good practice. The scores for this area have been combined with scores based on the rating from the last inspection, which was good.

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.

Relatives told us they or their family member had been involved in the development of the care plan and risk assessments. The registered manager said care plans and risk assessments were developed from the information identified though the initial needs assessment. Staff told us people they visited had detailed care plans which they regularly reviewed, and the care plans provided them with guidance, so they understood how to provide the care required in a safe manner.

We did not look at Delivering evidence-based care and treatment during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at How staff, teams and services work together during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at Supporting people to live healthier lives during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at Monitoring and improving outcomes during this assessment. The score for this quality statement is based on the previous rating for Effective.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. Relatives confirmed staff explained the care they were providing and obtained their family member’s agreement. Their comments included, “Staff explain what they need to do and ask if [family member] is happy to proceed” and “[Staff] talk to [family member] before starting care.”

The provider had a process to assess if a person was able to make informed decisions about their support needs. If the mental capacity assessment indicated the person was unable to make these decisions, the provider ensured care was provided in the least restrictive way. Care plans indicated how the staff should support the person to make decisions. People’s care plans identified if the person’s relative/representative had the legal authority to make decisions about their health and wellbeing if they were unable to do so.