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 requires improvement. 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.

Previous areas requiring improvement identified at the last assessment had been addressed. Significant improvements had been made to people's records. Care plans and risk assessments for all people at the service had been fully reviewed and rewritten.

People’s holistic needs were fully assessed and regularly reviewed. Clear information was recorded about people’s preferences and how they would like to receive support.

Relatives told us they had been consulted with about their loved one’s preferences. However, one relative told us they had not seen the care plan to confirm the information had been recorded.

The manager intended to implement 'resident of the day' which included, inviting relatives in to engage and be involved in ensuring care plans are completely reflective of their loved ones.

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.

People received care from staff who knew them well. The management team had fully involved staff in the reviews on care plans for people. Staff had provided key information about people, their health needs and preferences to support the provider to complete detailed care plans.

Best practice guidance was also included within the updated care plans to support staff to provide the correct care in line with people's personal routines.

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.

Advice from health care professionals was recorded and monitoring records showed that this advice was followed. Detailed information about people was available to support people when attending external health care facilities.

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.

Previous areas requiring improvement identified at the last assessment had been addressed. System and process were now in place to support people's health and wellbeing.

Staff raised concerns about people's health needs in a timely manner to ensure appropriate action was taken.

The manager had arranged various reviews with external health professionals to ensure people's health and wellbeing was continually monitored.

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.

Previous areas requiring improvement identified at the last assessment had been addressed. Information recorded in daily records and monitoring charts had improved and these were reviewed daily by the manager.

The manager attended daily handovers and discussions were held with staff where gaps in recording had been identified. Staff meeting minutes showed the manager addressed recording issues with staff and stressed the importance of ensuring records relating to people’s care were correct, accurate and up to date.

All staff we spoke with felt staff teams were more settled and the new electronic care planning system supported them to improve on their recording.

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

Previous areas requiring improvement identified at the last assessment had been addressed. Records showed decisions around people's care had been made and/or agreed with people, or their legal representatives.

Managers had assessed people’s mental capacity to make different decisions. When people lacked capacity, the provider liaised with their families and other professionals to help make decisions in their best interests.