Kettonby Care 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 inspection we rated this key question requires improvement. At this inspection the rating has changed to 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 service made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them. People had care and support plans in place that had been developed with the person, those important to them and professionals. People’s preferred communication style was used so they could take part in reviews to develop their care. This enabled people to have their views, opinions and feedback captured and acted on.

The service 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 supported with their nutrition and hydration and where risks had been identified, tools were in place to monitor this. Communication tools were tailored to each individual and available to them at all times to enable them to express their views, wishes and to make decisions.

The service 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 described positive team working to ensure staff responses and approaches were consistent and reduced people’s anxiety and distress. A staff member said, “We have the duty to ensure that the person in our care is properly prepared that we show the person PECS (Picture Exchange Communication System) images with a hospital or Doctor to inform the person in advance where they must go. We make sure that we have available transport and all necessary documents and to ensure that we are able to arrive in time to the appointment.”

The service 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 had access to external health and social care professionals when they needed them. Staff responded to changes in peoples’ wellbeing and needs in a timely manner and liaised with other services to help people live their best lives. Staff worked with agencies to identify and follow adaptations and alternative approaches to enable people to engage with health monitoring and routine testing.

The service 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. Staff understood the inequalities autistic people and people with a learning disability face. For example, they had worked with health professionals to identify and follow alternative approaches with a person who would not engage in essential health care monitoring. As a result, the person now engaged fully and the management of their health condition was more effective.

The service told people about their rights around consent and respected these when delivering person-centred care and treatment. People’s records included information about people’s capacity and how either through verbal or non-verbal means they were able to refuse or give consent for specific decisions. People’s care plans evidenced best interest processes were followed in line with the Mental Capacity Act.