Moss View

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 inspection we rated this key question good. At this inspection 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 care plans were reviewed monthly by staff, and any change in people’s needs were captured and discussed with families, who confirmed they were involved in their relatives’ care. One relative told us, “Yes they are great at keeping us informed.”

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. For example, repositioning charts, food diaries and fluid balance charts were in place for people who needed them and were being completed by staff.

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. Each person had detailed information which accompanied them if they were to stay in hospital. This included ‘need to know information’ regarding risks, diet and medication. When professionals visited the home, they kept a detailed log of their visits and any action taken.

The provider supported people to manage their health and wellbeing to maximise their independence, choice and control. The service supported people to live healthier lives and where possible, reduce their future needs for care and support. People were offered a wide range of food and staff tried to support people with diabetes to choose appropriate foods. Also, where people had a capacity to make their own decisions independently this was written into their care plan.

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. People were consulted with around daily activities and there were numerous clubs, such as garden club, and themed nights and celebrations which people chose to partake in. We saw photos of people clearly enjoying themselves, and feedback gathered by the provider from people around their daily activities and support was positive. There was a weekly meeting with the GP and District Nurses to ensure people’s care and treatment was reviewed and still met their needs.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. Consent was clearly recorded in people’s care plans. This was reviewed yearly or when there was a change in people’s understanding. Where people could not consent, a best interest process was followed. Staff explained how they encouraged people to give consent each day around personal care and entering their rooms. One staff member said, “I always announce it is me, and I can tell from the person’s facial expression and if they nod their head at me. It is important to explain what we are doing.”