Wellburn 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 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 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

Assessments were carried out before people moved into the service to ensure suitable support could be provided. People’s choices and needs were regularly reviewed to ensure they received effective support. One person said, “I can do as I want.”

People spoke positively about the care they received, including with eating and drinking. People and relatives confirmed that people were given a choice over what they would like to eat, and records confirmed that meals reflected any specialist diets people had. One person said, “The food is quite good, they ask you what you want”. Staff were knowledgeable about the dietary support people needed.

External professionals did not raise any concerns about how the service worked in effective partnership with them. People’s care records contained evidence of effective working across teams.

People were supported to access a wide range of external professionals to monitor and promote their health. One person said, “You can see the GP or dentist when you need to.” Care plans were updated to include advice given by external professionals.

People and relatives were involved in regular reviews of people’s support to ensure it remained effective. One relative said, “I bring things to their attention and they already know because they know [person] so well.”

The Mental Capacity Act 2005 (MCA) provides a legal framework for making particular decisions on behalf of people who may lack the mental capacity to do so for themselves. The MCA requires that, as far as possible, people make their own decisions and are helped to do so when needed. When they lack mental capacity to take particular decisions, any made on their behalf must be in their best interests and as least restrictive as possible. People can only be deprived of their liberty to receive care and treatment when this is in their best interests (BI) and legally authorised under the Mental Capacity Act (MCA). In care homes, and some hospitals, this is usually through MCA application procedures called the Deprivation of Liberty Safeguards (DoLS). The provider was meeting the requirements of the MCA. Where needed, authorisations for people being deprived of their liberty had been approved. Where people could not make decisions for themselves, best interests decisions were made and recorded.