The Rowans 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 changed to requires improvement. This meant the effectiveness of people’s care, treatment and support did not always achieve good outcomes or was inconsistent.

This service scored 50 (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 did not always make sure people’s care and treatment were effective because they did not always check and discuss people’s health, care, wellbeing and communication needs with them. An effective system was not fully in place to ensure best practice guidance was followed when assessing people's needs and providing care. We identified shortfalls in relation to, the assessment of risk, care planning and medicines management. People’s needs were assessed and recorded however, where needs had been identified, the care records did not contain sufficient information.

The provider did not always plan and deliver people’s care and treatment with them, including what was important and mattered to them. People received care from staff who knew them well. However, staff did not always follow peoples planned care and records did not always document that care was carried out as planned. For example, in relation to pressure area care, one person required two hourly positional changes throughout the day. Records did not always reflect this had been done.

The provider did not always work well across teams and services to support people. They did not always share their assessment of people’s needs when people moved between different services. Advice from health professionals was not always followed correctly by staff. Records did not always reflect that the service worked well across teams. Records did not show any follow up recommendations from health professionals were completed when requested.

The provider did not always support people to manage their health and wellbeing, so people could not always maximise their independence, choice and control. Staff did not always support people to live healthier lives, or where possible, reduce their future needs for care and support. Systems and processes were not in place to support people's health and wellbeing. Care plans and risk assessments did not contain sufficient information and were not regularly reviewed to ensure peoples' care and support needs was appropriate.

The provider did not always routinely monitor people’s care and treatment to continuously improve it. They did not always ensure that outcomes were positive and consistent, or that they met both clinical expectations and the expectations of people themselves. People’s records did not always evidence they had received treatment that met their needs and was in line with the healthcare professional's instruction. For example, one person's medication had been increased by the GP, this was not correctly reflected on the medication administration record for this person and the person was not receiving the correct dose of this medicine.

The provider did not always tell people about their rights around consent and did not always respect their rights when delivering care and treatment. The service did not always seek consent to deliver care and treatment in line with legislation and guidance. It was not always clear how decisions around people's care had been made and/or agreed, as this information was not captured or included in people's care records.