Hepworth 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 inadequate. At this assessment the rating has changed to 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. Since our last inspection, the provider had reassessed people’s needs and updated people’s care plans. These were now more accurate and promoted them receiving the care they needed in the way they preferred. The provider was able to evidence that they were in the process of sharing care plans with relatives and seeking their input in areas such as people’s past lives, likes, dislikes and favourite pastimes.

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. Tools, such as the Waterlow assessment, were used to assess the risk of skin tissue breakdown and Malnutrition Universal Screening Tools were completed to identify and act in response to people’s health risks. People had access to and interacted with robotic pets designed for therapeutic benefits. This had a notable positive impact on two people. For example, one person had grown up with pets and talked about missing them. The robotic pets provided them a sense of comfort.

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. Records showed people had been supported in accessing external health professionals where they needed to. For example, recently the service had referred a person to speech and language therapists due to increased difficulties with swallowing.

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. For example, records showed people had taken part in exercised based activities. People’s nutritional needs had been assessed, and they were supported with nutrition that met their health needs. A staff member told us, “I check in about their health and can see their care plan on our device to see if there’s any changes. I get updates weekly about any weight change to help with menu and making nutritionally healthy food. I encourage chair exercise too with the others and join in.”

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. Records showed that people’s care plans had been reviewed regularly to ensure these reflected their needs. A relative said, “They have looked after [my relative] well and [relative’s] overall physical health has improved.”

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. Where people needed to be deprived of their liberty, the provider had appropriately sought the legal authority to do so. Staff we spoke with understood the importance of seeking consent before delivering care. A staff member told us, “We respect their (People’s) choices and do person centred care.” And, “It’s important to respect their dignity and choice.”