14 Thornholme Close

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 inadequate. At this assessment the rating has changed to 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 comprehensively assessed and included consideration of their physical, mental health, sensory, social and communication needs. The assessment focused on their strengths and abilities, and they were involved as much as possible in the assessment and ongoing reviews.

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 had achieved good outcomes in key areas of their care. Staff followed best practice guidance and liaised with health and social care professionals, including dieticians and district nurses, for example, to help ensure people’s care met expected standards.

People’s nutritional and hydration needs were being met in line with current standards and evidence-based guidance. People were involved in planning healthy food menus each week and were supported to manage their dietary needs and associated risks.

The provider worked well across teams and services to support people.

Staff told us the care plans were clear and provided the required guidance to provide good care. They told us support from the managers was good and the communication was effective. Regular handovers and team meetings were in place.

Staff were proactive in working with other services when multidisciplinary involvement was required, and any actions were followed up on as needed. A visiting professional was very positive about the relationships they had with staff. They told us, “They are good communicators and report any concerns and they are quick to support [resident] to access appointments.”

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 had health action plans and were supported to attend annual health checks. Evidence reviewed during the assessment demonstrated staff were proactive and contacted health and social care professionals as and when needed to make sure people’s health care needs were met.

Staff had supported people to make significant progress. They were living a healthier life, and plans were in place to build on the improvements made. People were encouraged and supported to understand and make healthier choices related to their diet, lifestyle, physical activity, personal care and oral hygiene.

The service identified risks to people’s health and wellbeing and prioritised support to prevent deterioration as much as possible. For example, supporting people to remain as active and mobile as possible.

A visiting healthcare professional told us, “[Resident] life has been transformed here. Less incidents…better healthcare and they are learning new skills.” All the staff we spoke to were positive about the support provided. They told us, “The changes for [resident] have been massive. He is receiving the right care.”

The provider routinely monitored people’s care and treatment to continuously improve it.

Staff worked in partnership with people and their social workers to improve all aspects of their care. People had clear goals and had been supported to make progress. These were monitored by the provider and changes were made to the care plan where required.

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

A consistent staff team knew people very well. They focused on the least restrictive option and took all practicable steps to support people to make their own decisions. People were asked for their consent before care was provided, and best interest decisions were in place where they were unable to provide consent.