Holly Tree Lodge EMI 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 83 (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. Peoples care plans contained person-centred information, gathered either from the person or their family members where required. This ensured staff had information pertinent to the person to enable to provide individualised care. Care plans were reviewed regularly and contained any information and advice given from external professionals.

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 provider ensured regular monitoring of people’s health needs took place through the use of nationally recognised assessment tools, for example records showed use of the Malnutrition Universal Screening Tool (MUST) to identify where people may be at increased risk or weight loss and associated complications. Where risks to people were identified, the service took appropriate steps to mitigate these.

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. People knew the people they supported well, and there was a stable and continuous staff team at the service. Relatives gave positive feedback about staff at the service. A relative told us, “The staff are very knowledgeable, and if I ring, anyone can talk with me.”

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. Staff were supported to access external health and social care professionals where required. When professional advice was given, this was clearly documented in peoples records and followed by staff.

The provider monitored all people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they fully met both clinical expectations and the expectations of people themselves. Staff and leaders at the service worked to promote positive outcomes for the people they supported. Some people living at the service had difficulty expressing their goals and wishes, however staff and leaders ensured that efforts were made to understand a person’s life history. From this, individual plans were formulated to support people in exploring activities, hobbies and interests that could improve their well-being. The service worked holistically to monitor the effectiveness of interventions, for example where a person could not say directly if they enjoyed an activity, the service instead undertook monitoring of the persons presentation, periods of emotional wellbeing and feedback from relatives and staff to ensure interventions were positive. Records showed that people had reduced periods of low mood and emotional distress where targeted interventions were in place.

The provider always carefully explained to people what their rights around consent were, made sure they fully understood them and always fully respected these when delivering person-centred care and treatment. People’s capacity was assessed, and the principles of the Mental Capacity Act 2005 (MCA) were followed. Staff and managers were knowledgeable about the legislation and legal requirements necessary where people were no longer able to make certain decisions independently. The provider demonstrated an excellent understanding of consent to care and the importance of ensuring people’s wishes were still considered when they were no longer able to voice these for themselves. The provider had recognised that sometimes family members did not always understand the Mental Capacity Act or the implications of this for their loved ones. The provider completed training sessions with family members to ensure they understood the legislation and how to advocate for their loved ones.