Rose Tree 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 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 71 (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 before they moved to the home. Care plans were in place and regularly reviewed to keep them up to date. Staff understood people’s needs and used electronic systems to share changes promptly. People and relatives confirmed they were involved in planning and reviews. A relative said, “We were asked lots of questions to make sure they knew all about her.” Records showed multidisciplinary input, including GP and SALT (Speech and Language Therapy) referrals.

The provider did not always ensure care and treatment were consistently delivered in line with best practice.
Staff used a recognised tool such as the Malnutrition Universal Screening Tool (MUST). Some improvements were needed in relation to food preparation. For example, people who required pureed meals had only one option to choose from and several staff told us pureed food sometimes contained skins. We raised this with the registered manager who said it had not been raised with them but they would monitor it.

Some people commented that they really enjoyed the food, whilst others said the quality was fine, but the choice wasn’t the best. We also observed high food waste after meal times.

A white board in the kitchen detailed up to date information about dietary requirements, however kitchen files holding this information were out of date. We shared our concerns with the registered manager who said they would, “Fully review kitchen processes with the chef."

Staff worked well together to support people, share information and ensure continuity of care.
Weekly GP and community matron rounds were in place and staff shared updates promptly, documenting any changes and sharing updates during handovers.
A visiting professional told us: “The staff give me any updates when I arrive, I always have a conversation with the senior who lets me know how things have been."

People were supported to maintain their health and independence where possible. Care plans included strategies for hydration, nutrition, and mobility. Staff monitored wellbeing and encouraged healthier choices, such as hydration and mobility exercises. Records showed timely referrals for dietetic and SALT input when risks were identified. A relative told us: “[Person] has gained weight after losing it at home, staff are good."

Staff routinely monitored people’s care and treatment to improve outcomes and quality of life.
Clinical monitoring tools, including weight charts and wound care records, were in place. Care plans were reviewed regularly, and concerns were promptly escalated to external professionals were needed. Interventions where in place when needed such as specialist mattresses and positional changes.

People were supported to understand and exercise their rights around consent, and decisions were made in line with the Mental Capacity Act.
Staff understood how to seek consent before delivering care and respected people’s wishes. Care plans included capacity assessments and best interest decisions where required.
The registered manager said, “Assessments are carried out and best interest decisions made with relevant people as appropriate. This is all recorded on the system."