Chiltern Rest Home

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• 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 service made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them. Not everyone could recall the details in their personalised care plans. However, the care plans we saw were personal to the individual and based on their needs and preferences. These assessments of care included, but were not limited to, health, care, wellbeing, and communication needs, to enable people to receive care that had good outcomes.

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’s individual care plans included assessments using recognised best practice tools. For example, mobility, diet and nutrition. These assessments were reviewed regularly or if there was a change in personal circumstances.

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. One person told us, “The doctors review my care but I will ask if I ever needed extra help.” People were supported by staff who knew them well.

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 were supported to live healthier lives through regular access to health care professionals such as their GP.'s and dentists. All those we spoke with told us they were referred for additional support without any delays if they needed it.

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. When it was required, the service monitored people’s individual health changes to identify if any additional support was required. For example, if staff identified a change in people’s weights these were monitored over a short period of time. If required a referral was made to GP.s or dietitians and additional support was provided. One person told us they didn’t feel like eating much at lunch times. Staff responded to this and, in agreement with the person, increased the amounts they had at breakfast and in the evening to maintain a healthy weight.

The service told people about their rights around consent and respected these when delivering person-centred care and treatment. Everyone we spoke with told us they agreed for the care and support they received. Where necessary the provider had procedures in place to engage people with legal authority or responsibility to make decisions within the requirements of the Mental Capacity Act 2005. This included the duty to consult others such as carers, families and/or advocates, where appropriate.