Figham 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 the same. 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.

The service did not always make sure people’s care and treatment were effective because they did not always check and discuss people’s health, care, wellbeing and communication needs with them. Care plans had not always been updated when people’s needs had changed. Regular reviews had not always taken place and there was no evidence people, or their relatives had been involved in these. Pre-assessments involved people and their relatives, and the service ensured people’s individual needs were understood and recorded.

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 told us staff knew them well. Care plans ensured information about people’s life histories and preferences were recognised and recorded. Staff understood people’s dietary needs and preferences. The cook sought regular feedback from people to ensure they were receiving the types of meals they preferred. Where people needed support to eat and drink this was provided in a way appropriate for them.

The service worked across teams and services to ensure consistent support for people. They made sure people only needed to tell their story once by sharing their assessment of needs when people moved between different services. Care plans contained details about visiting professional advice and recommendations, and these recommendations were followed. A visiting professional told us, “Staff are really helpful and supportive, always look after everybody, they always follow instructions, if unsure they will ring. I never come in and think they (staff) should have done ‘x, y or z’.”

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 access health appointments. Staff often accompanied people to external appointments where relatives were unable to do so. The service ensured people received health support within the home by arranging and facilitating visits by, for example, chiropodists, dentists and audiologists.

The service did not always routinely monitor people’s care and treatment to continuously improve it. They did not always ensure that outcomes were positive and consistent, or that they met both clinical expectations and the expectations of people themselves. Recording of notes about people’s day to day lives was basic. This meant people’s individual needs and outcomes were not always monitored to ensure improvement. Care plans did not contain a consistent level of detail about people’s expectations or outcomes.

The service told people about their rights around consent and respected these when delivering person-centred care and treatment. People had records of consent to their care and support. Where people were unable to consent, the service had ensured their relatives had done so where legally appropriate. The service recorded where relatives held Lasting Power of Attorney (LPA). The service had made appropriate Deprivation of Liberty Safeguard (DoLS) submissions to the local authority. Where (DoLS) included conditions the home had noted and monitored to ensure compliance.