Crumble Cottage

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 and care delivered in line with the assessments. People's care plans were reviewed monthly, and changes were made when appropriate. People, and those important to them, were involved in reviews about their support. Positive behaviour support plans were in place, which identified proactive strategies designed to improve a people’s quality of life and minimise the conditions likely to lead to people becoming distressed.

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. Care plans were in place regarding oral care and brushing teeth, and regular dental check-ups were arranged for people. People were involved in shopping for meals, preparing meals and choosing what they want to eat and drink. People had care plans in place regarding nutrition and hydration and staff supported them to devise food planes each week.

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. Handover documentation and daily notes were informative and offered staff the opportunity to effectively pass on information between them and with other professionals. Staff we spoke with told us they worked together well as a team and communicated well between themselves.

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 access to healthcare professionals, and their guidance was documented in people's care and support plans. People had access to regular nurse reviews every 4 weeks to check weight, blood pressure, temperature and urine analysis.

The provider 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's desired outcomes were included in their support plans. For example, 1 person had a section in their care plan named ‘desired outcomes.’ These were to preserve their current level of understanding in daily life activities, therefore promoting and sustaining their independence. They wanted to achieve this by being constantly informed on all matters and staff to offer reassurance regarding their ability to offer guidance and support whenever they felt uncertain.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. People were involved in their care and support, and staff sought their consent prior to completing tasks. Staff knew the best way to present choices to people to maximise their involvement. This ensured people had the opportunity to communicate their preferences and consent to their care and support.