Wurel House

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.

This service scored 67 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

People’s needs were assessed when they started with the service by the registered manager. However, this did not always lead to these needs being clearly set out in their care plan. For example, one person had communication needs and the information in the care plan about how the person communicated was very limited. This was addressed immediately after the inspection visit. Staff who supported the person knew how the person communicated from their experience of working with them and information shared by their relative.

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.

People were also supported with eating and drinking if they needed this support to maintain nutrition and hydration. People and their relatives told us staff always ensured people had sufficient drinks and snack or meals provided as needed. One relative said, “[The carer] always leaves glass of fresh water and makes a sandwich if [my relative] wants that for lunch. In the evening if [my relative] wants something hot [the carer] will cook dinner.”

The provider worked well across teams and services to support people. Referrals were made to other services to improve outcomes for people. One health and social care professional told us, ‘Wurel House refer patients in a timely manner and have the patient's best interests and safety at their centre.’ People and their relatives were confident the provider would refer them for support where needed. One relative told us, “If [my relative] needs assistance like the district nurse they will call and organise this.”

Staff were aware of the guidance provided by health and social care professionals about people’s care and support. Staff told us the provider ensured guidance from health professionals was shared with them.

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 understood the importance of encouraging people to do things for themselves as far as was safe to do so to help people retain mobility and to support people’s rehabilitation. Staff were aware of people’s rehabilitation goals and the support they were receiving from health care professionals to attain these.

Monitoring of people’s care and support was an area where improvement was needed. The provider visited people to discuss people’s care and spot checks were carried out on staff practice. However, people’s care records did not always capture what actions had been taken during care visits and this impacted on the providers ability to monitor care effectively. The provider was aware of this and had spoken to staff, but improvement was still needed.

People were asked for their consent to care and treatment when their needs were assessed. Where people needed support from family to make decisions they were involved. Staff had undertaken the relevant training in mental capacity and knew the importance of offering people choices. One staff said, “[The person I care for] has capacity and can control [their] own care.” A relative told us, “[My relative] definitely knows what [they] want, and is given a choice.”