The Restored House Ltd

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.

This is the first assessment for this newly registered service. This key question has been rated 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 was effective by assessing and reviewing their health, care, well-being and communication needs with them.

People’s needs were assessed before commencing with the service and reviewed regularly thereafter. People and their relatives were actively involved in the review of their needs. A relative confirmed, “We have a once-a-month full assessment, and sometimes that involves a visit to [Name’s] house.”

A member of staff confirmed, “[Manager’s Name] always comes often to the person’s home, to check in with both them and me.”

The registered manager told us, “Assessments are kept up to date, I do follow up reviews and look to see if there is anything we need to put in place to meet people’s change in needs."

The provider planned and delivered people’s care 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 supported people in line with their assessed needs, including their nutrition and hydration needs.

The provider utilised best practice guidance wherever possible to help ensure the care and support delivered to people was aligned to good practice.

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.

Staff were involved in people’s care planning and support. Staff were able to describe when referrals were needed to other healthcare providers such as the GP, to enable people to remain safe whilst living in their own homes.

The provider supported people to manage their health and well-being 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.

Processes were in place to enable people to make informed decisions around their own well-being needs. People’s care records evidenced their relatives were included in their care planning, including their life stories, individual preferences, likes and dislikes. We saw how a person was regularly supported into the community; this helped them keep mobile and active and helped them to live a healthier life.

The provider routinely monitored people’s care 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.

Processes were in place to ensure peoples outcomes were monitored, and any changes were implemented. This was evidenced in peoples’ care plan reviews. Care plans were audited to ensure regular reviews took place and any actions were followed up.

A relative confirmed, “The manager regularly reaches out to speak to Mum and me to review her care and see how we are doing. We also have a monthly review with the manager, and she will visit. I feel involved with Mum’s care.”

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

Staff provided care in a way which aligned to the principles of the Mental Capacity Act, and information was provided to people in a way they understood. Staff were able to explain how they gained consent from people including people. A member of staff told us, “I always give choices, even it means putting 2 options in front of people to prompt them. We also work closely with families and involve them. We ask them what the person would like if they can’t always answer us.” A relative told us, “Yes, the carer definitely gains consent from [Name].”

The registered manager told us, “We monitor people’s capacity to consent and make choices, if they were no longer able to make choices, we would go their GP and request an assessment.”