Henning Hall

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. A relative told us the registered manager had been thorough in her assessment and commented, “They [the manager] discussed about [name], what he was interested in, our past family history.” Where possible, the registered manager met with people and discussed the assessment information with them and their relatives before they moved to the service. Where assessment information was shared by partner agencies, especially in more urgent situations, the registered manager had reviewed systems to ensure information was checked and where there were any concerns about admissions, these were addressed and shared with the relevant professionals without delay.

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. A relative told us, “They [staff] got to know who he is as a person.” Care plans included detailed information about people’s preferences and how to support them to achieve their identified outcomes. For example, a person’s care plan contained detailed information about the importance of their family and included their preferences for female care staff. Staff kept people’s care plans under review. A staff member told us, “They [managers] let you know anything new; you can always access information about new residents.”

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. Staff referred to various health and social care professionals to support people. For example, staff were working with partners to regularly review and support a person with aspects of their dementia care. Staff told us they were kept up to date through regular meetings. A staff member said, “We have lots of meetings. The managers tell us if we need to do anything differently.” They were kept informed daily about people’s fluid intake and were advised when people needed further encouragement to eat and drink, as well as any other changes to their care needs. The provider was part of a local programme which followed a pathway, aiming of provide quality end of life care to people.

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. The provider worked with partners to provide places to support people coming from hospital with rehabilitation and to regain their independence where possible. They had weekly meetings with health care professionals to review people’s needs and outcomes. We saw an example where staff were working with a therapist and medical professionals, to help improve a person's health, with the aim of improving their mobility. Another person told us staff had made arrangements to ensure they could undertake daily outdoor exercise, which had been very positive for them.

The provider monitored people’s care and treatment to continuously improve it. Following feedback from external agencies relating to a specific incident, the provider had taken action to ensure outcomes were positive and consistent, or that they met both clinical expectations and the expectations of people themselves. Systems had been reviewed and actions implemented to ensure information was shared with and followed by staff in line with best practice, following a specific incident at the service. Procedures had been strengthened to monitor people's fluid intake and people’s weights were monitored with action taken if required. The registered manager, in partnership with the local GP had implemented an assessment tool for use when people’s health deteriorated, this guided staff about how best to escalate any concerns. A communication record for use with the GP, had also been developed. These systems were being embedded, and the provider was monitoring. There were examples where staff monitored people’s needs and took action to improve outcomes. Where a person’s needs had changed, staff had referred to partner agencies for further support and assessment. A relative spoke of how they were involved in their loved one’s care and said staff were good at communicating, taking ongoing actions to review and keep them safe.

We did not look at Consent to care and treatment during this assessment. The score for this quality statement is based on the previous rating for Effective.