West Ridings 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.

The provider was previously in breach of the legal regulation in relation to person-centred care. Improvements were found at this assessment, and the provider was no longer in breach of this regulation.

This service scored 67 (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.

People’s care plans were very long and contained a lot of information. Many areas contained duplicate information which made them hard to follow. The management team were aware of shortfalls in this area and were reviewing care plans to ensure they were accurate and included up to date information to support staff with safe care delivery.

Some people’s relatives had been involved in their loved one’s care planning; however, others told us they had not.

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.

The service used nationally recognised assessment tools such as the Malnutrition Universal Screening Tool (MUST) and Waterlow to support with the monitoring of some people’s weight and skin integrit. Staff completed training relevant to people's needs, and records documented professional medical advice and guidance to support people’s changing needs.

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.

Care records included risk assessments, healthcare information and care planning documentation to support continuity of care. Daily shift handovers enabled care staff to share any changes in people’s immediate needs, which ensured ongoing safe care delivery.

Records evidenced effective partnership working with GPs, social workers and community nurses.

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.

Care plans contained information about health conditions, monitoring requirements and specialist interventions. Referrals to healthcare professionals were made promptly when concerns were identified. One family member told us, “My relative was having problems with their teeth, so I mentioned this to [name of manager] today and within 7 minutes they had got them a referral for the dentist.”

We observed people being provided with nutritious meals, and regular snacks and drinks during our inspection.

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.

Oversight of people's care and support was not always effective. We found gaps in care records around repositioning and continence care which limited the service’s ability to effectively monitor people's care and wellbeing.

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

Care records included mental capacity assessments, best-interest decision-making records and information about family involvement, where appropriate. Staff had completed training and had a good understanding of the Mental Capacity Act.

Staff gave examples of how they requested consent to deliver care, and what they would do if someone refused.