Rutland Road 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 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 when they started using the service. This included identifying their support needs and preferences as well as their likes and dislikes. The home manager confirmed the process included consideration of the others living at the home and whether any prospective new person was compatible with them before making a decision to go ahead.

The staff team worked continually with people to amend support plans ensuring they remained current, including information about times when people may require additional support and signs that this may be the case. Each person had a key worker to support this flexible and proactive approach to meeting people’s needs.

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 that was planned with them and based on current good practice. People’s nutrition and hydration needs were met safely and in line with best practice. They were involved in menu planning, so meals reflected their choices and needs. Care plans were clear and up to date. Staff were confident in their roles and worked in a way that kept people safe and well. The management team checked that guidance was followed and helped staff keep their knowledge current.

People experienced coordinated care because staff worked well with each other and with partners. Staff communicated well and ensured everyone understood each person’s current support needs. When people moved between services, staff shared information quickly to support safe transitions. People were kept informed about referrals, plans and expected outcomes. For example, for 1 person whose needs were changing, a referral had been made to external health professionals to support their needs more effectively. They told us about the referral and said, “They are going to get me a [piece of equipment] because I’m finding things more difficult now.” Staff followed advice from health professionals and updated records, so guidance was accessible. The management team supported good communication, so staff had the information they required. The service maintained safe and consistent care through effective teamwork and strong collaboration.

Staff supported people to manage their health and wellbeing in ways that promoted independence and choice. Staff encouraged people to stay involved in their own health needs wherever possible. For example, 1 person had attended an appointment with a health professional on the day of our first site visit. A staff member had supported them at the appointment and continued to discuss treatment options with them when they returned home to support them to make a decision. People were helped to understand healthier choices and how these could support their wellbeing. Information promoting good health was available for people in easy read formats in topics such as breast, bowel and prostate cancer screening and smoking cessation. People accessed GP, dental and other health services quickly when needs changed. Staff followed guidance from professionals and updated care plans so advice was clear. People with mental health needs received support based on specialist advice to keep them well.

Staff monitored people’s care well and helped them achieve positive, consistent outcomes. They supported people to understand their options and agree what good outcomes meant. Staff encouraged people to work towards goals that improved health and quality of life. Staff reviewed care plans often with people and updated goals together. They promoted skill development and independence at a pace that suited each person. 1 person said, “I am hoping to move to [Type of service] where I can be more independent. I think [Staff] are helping me to work on doing that.” The management team gathered feedback and used it to improve care and support. Staff worked closely with partners to ensure people received the right clinical input. Records showed a focus on improving people’s wellbeing and progress towards agreed goals.

Staff worked in a person centred way that upheld people’s dignity, choice‑ and control. They explained people’s rights around consent in clear ways they could understand. They checked people’s views before giving any care and supported them to make informed decisions. Staff gave people time, information and reassurance when discussing choices. They used communication tools, such as easy read information sheets when people needed extra support to understand options. Staff involved relatives or advocates when people wanted help with decisions. They recognised when people lacked capacity and followed the Mental Capacity Act correctly. Staff made best interest decisions with the right people and always considered the person’s wishes. Staff recorded decisions clearly, so everyone understood the agreed approach