Hunningley Grange Residential 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 requires improvement. At this assessment the rating has changed to good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

The service was previously in breach of the legal regulation in relation to person centred care. Improvement was found at this assessment, and the provider was no longer in breach of this regulation.

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. Assessments were completed prior to support starting. Care records were now more person centred and detailed. Staff had access to care records and demonstrated they knew the people they supported well. People and their relatives told us they were involved in the assessment and care planning process. A relative told us, “When I came in recently, they mentioned the care plan and I filled in a questionnaire with them.” Another relative commented, “We had a review 2 days ago, we were discussing their health declining and what we can do to support [person]. I was happy with this.”

The provider now 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. Staff were now supported through regular supervision and training to deliver care and support to people which was in line with good practice guidelines and standards. People and their families were involved in discussions about their care and overall were now positive of support provided. A relative told us, [Name of staff] had made a big difference. [Person] understands my [relative], probably better than anyone now...it’s reassuring.”

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. Improved care records meant that information provided to external professionals was more accurate and detailed. The staff team worked well together and supported each other to ensure people's needs were met. One staff member said, “We work well together and support one another. Although there can be challenges, especially when short staffed, we pull together as a team.”

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. We saw people had access to healthcare professionals and advice from professionals was sought with appropriate follow up by staff when people required health interventions. Staff were knowledgeable about people’s health conditions and ensured they delivered care and support in line with professionals’ guidance. People and their relatives were more positive about how their health and wellbeing were managed. One relative commented, “Now there is a chiropodist, a hairdresser, a doctor, dentist and an optician has been. [Person] is looked after much better now.”

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. Areas requiring improvement identified at the last assessment had overall been addressed. Information recorded in daily records and monitoring charts had improved and these were reviewed regularly. We asked the provider to explore further how support provided was recorded on the electronic system, so it was more accurate and easier to oversee. Staff were positive about the improvements implemented. A staff member told us, “Staff are passionate about the wellbeing and safety of our service users. There is a clear effort to continuously improve standards and ensure a high quality of life for the service users.”

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. The provider had assessed people’s mental capacity to make different decisions. When people lacked capacity, the provider liaised with their families and other professionals to help make decisions in their best interests. Staff received training in the Mental Capacity Act and understood the importance of ensuring that people fully understood what they were consenting to and the importance of obtaining consent before care was delivered. We observed staff offering people choices and checking consent before completing care tasks throughout our visit.