Primrose Neurological Centre

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.

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.

People’s needs were assessed using a range of formal assessment tools, these were reviewed regularly to identify if people’s needs had changed. People’s communication methods were documented within care plans and staff followed these to enable effective communication.

The provider planned and delivered people’s care and treatment in line with legislation and current evidence-based good practice and standards.

Information was available to enable staff to meet people’s needs. For example, we saw people’s nutritional needs were recorded and the specific support and equipment they needed. Care records contained information to ensure staff could support a person-centred approach and records were updated when things changed.

People were involved in planning care and could share their views and preferences.

People were supported by appropriate health professionals if the need arose and their advice followed. Staff were able to describe the needs of the people they supported, and the help they required.

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.

The provider shared information with other health and social care professionals to support care planning and delivery. Records of agreed actions and treatment plans were documented to enable consistency of care. Health professionals told us the service worked well with them and supported people to work towards their goals.

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.

People were supported to maintain and maximise their independence. A person told us, “I’ve taught the staff different cooking skills, how to make proper scrambled eggs, how to cook a good steak, how to cook a good omelette.”

People planned their meals in advance and if they decided to have a different meal, this was respected. People could access drinks and snacks at regular intervals during the day, and staff supported people to eat and drink if this was needed. Staff knew people’s individual needs and preferences.

Care records contained information on how people’s oral health could be maintained. People could access dental advice if this was required.

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.

The provider used formal assessment tools to assess the health and wellbeing of people who used the service. People’s weight and skin integrity was monitored at a frequency that met their assessed needs, and information was shared with health professionals when this was appropriate. If people needed support with specialised diets and hydration, this was given and recorded within care documentation.

One person was unable to walk due to their health challenges; documentation showed the service had supported the person to access specialist health support. This, combined with effective care planning, specialist equipment and help from staff, had resulted in the person being able to stand and mobilise for brief times and supported their independence. The person shared with us, “I learned how to walk again, which was huge for me.”

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

People were asked to consent to care before this was given. Mental capacity assessments were completed if these were required, and we saw evidence that best interest decisions were made with the involvement of other relevant persons if this was needed. If restrictions were required to maintain people’s safety, this was done lawfully.