Roche Abbey 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 and care provided in line with people’s preferences. Staff ensured records were updated to reflect people’s changing 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. The catering team were aware of people’s nutritional and hydrational needs and provided meals in line with them. People had access to sufficient amounts of food and fluid and special diets were supplied for people who required them. Where people were at risk of malnutrition, external professionals had been involved and care plans devised to support people. People were complimentary about meals, commenting that, “There is a good choice of food,” and “The food is good, and I am very well fed.”

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. Daily meetings took place between members of the management team, nurses and senior staff to ensure people’s health and well-being issues were discussed and a plan of support in place to meet people’s needs. All relevant staff could access information they needed to ensure care was delivered appropriately.

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 management team and staff had good working relationships with external healthcare professionals. They worked closely with the local GP practice and other professionals such as occupational therapy, and dieticians. People were confident staff would refer them to health care professionals as needed. One person said, “They [staff] would get the doctor if I needed one.”

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. Staff were knowledgeable about people's needs and assisted them to achieve their outcomes. People who required 1 to 1 support were assisted in a caring and discreet way. Care plans included people's outcome and goals for each area were set in line with people’s preferences and needs. For example, 1 person’s outcome and goal was to be supported to maintain a healthy weight and follow a well-balanced diet. The management team and staff used the Malnutrition Universal Screening Tool (MUST). MUST is a tool designed to help identify adults who are malnourished, at risk of malnutrition, or obese.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. Where people lacked capacity there was evidence that decisions had been made in the person’s best interests. The provider worked within the principles of the Mental Capacity Act 2005 (MCA). The MCA provides a legal framework for making particular decisions on behalf of people who may lack the mental capacity to do so for themselves. The MCA requires that, as far as possible, people make their own decisions and are helped to do so when needed. When they lack mental capacity to take particular decisions, any made on their behalf must be in their best interests and as least restrictive as possible. Some people had Deprivation of Liberty Safeguards (DoLS) in place. The manager had a record of DoLS and kept this under review. People had care plans in place to record mental capacity and the support they required around decisions.