James Burns 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 inspection we rated this key question good. At this inspection 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 service made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them.People’s care and support needs were assessed before they moved into the service. Information was regularly reviewed to ensure the service could meet the persons specific needs. We saw detailed pre-admission assessments and admission checklists completed by the service. Staff had access to people’s information. People’s care records were accurate and reflected their needs and care preferences. People’s care and support needs were assessed, reviewed, and updated as required. Relatives and people told us they and their loved one were involved in developing care plans.

The service 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 and their relatives told us they were kept informed and involved in decisions about people’s care.A relative said, “I am always included. I work very closely with the management team.” Staff told us they worked with people to follow good practice guidance. For example, when supporting people’s with their medical conditions and mobility needs. People were complimentary about the food and drink at the service.A person said, “Food is very nice, there is variety, and I can choose what I like”. The service regularly sought feedback from people about the food. Professional and relatives feedback regarding food and drink and what would be more suitable to someone specific needs and requirements, this feedback was listened to by the service. Care plans included information about people’s allergies and intolerances and this was known to staff. We observed food and drink being prepared in line with people’s swallowing requirements.

The service worked well across teams and services to support people. They made sure people only needed to tell their story once by sharing their inspection of needs when people moved between different services.People told us their information was shared appropriately, for example with the GP, nurse or pharmacist.A relative said “I am always kept up to date and alerted with everything. It is a 3-way thing with myself, James Burns House and the healthcare professionals. I am always informed about appointments and the outcomes. Feedback from professionals was mixed. One professional said, “Treatment plans are not always followed.” However, another health and social care professional said they had a good working relationship with the provider. Treatment plans and guidance from healthcare professionals was accessible to the staff team and management.

The service supported people to manage their health and wellbeing to maximise their independence, choice and control. The service supported people to live healthier lives and where possible, reduce their future needs for care and support.People were supported to live a healthy lifestyle. One person said, “Food has improved here. I enjoy the food”. Information about dietary needs was known to catering staff. A special dietary requirements folder was kept in the kitchen and included guidance about food texture, preparation, and high-risk foods. The folder contained individual information for all residents there was information for allergies, specific diets and medical conditions. People and their relatives were complimentary about the food on offer and 1 relative said,“My loved one loves the food there. There is plenty of food and always something they like. The menu changes often and people have an input. They bend over backwards to make sure people have what they want”. Information about people’s needs was shared efficiently ascare plans contained detailed information which was accessible to staff. People had regular GP visits when required. Healthcare professionals would visit the service regularly and people were supported to attend required medical appointments. The service had effective working relationships with health and social care professionals.

The service 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.People told us how much their general health and wellbeing had improved whilst living at James Burns House. We were told by relatives and people the service and staff worked with people to get the best possible outcomes for them. The service understood the importance of listening to what people wanted and worked towards achieving it. Care plans were clear about goals and outcomes for people individually The service had a key worker system in place. This meant a dedicated staff member who knew people well, reviewed their care plan and risk assessments. Records showed continual discussion and review of people’s outcomes and goals.

The service told people about their rights around consent and respected these when delivering person-centred care and treatment.People told us they were treated with kindness, respect and dignity. People said they were supported with kindness. We observed staff asking a person for consent before carrying out a task. Where appropriate, relativeswere involved with making decisions in people’s best interest had been involved in decisions made on the persons behalf and had been involved in a best interest decision. Consent was sought from people and where necessary in accordance with the Mental Capacity Act 2005 (MCA). The service had a clear process in place to carry out MCA assessments where required.Staff had received relevant training and told us the importance of asking consent before providing care for people.