Riseley House 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 assessment we rated this key question requires improvement. At this assessment the rating has remained requires improvement.

This meant the effectiveness of people’s care, treatment and support did not always achieve good outcomes or was inconsistent.

This service scored 58 (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 did not always make sure people’s care and treatment were effective. Care plans did not always accurately reflect the person’s needs. For example, one person’s care plan indicated they used a sensor mat, although this was no longer the case. This was discussed with the manager and the care plan was updated accordingly. However, other care plans were reviewed regularly, and where appropriate, relatives were involved in the process. One relative told us, “I feel fully included in the care plan, it is reviewed regularly, and we get to keep a copy.”

The provider did not always plan and deliver people’s care and treatment with them, including what was important and mattered to them. For example, recent discrepancies in recording resulted in inaccurate fluid logs for some individuals whose fluid intake was being monitored. The manager has since implemented a plan to ensure that nutrition and fluid charts were more closely monitored by team leaders to prevent this recurring. We identified gaps in specialised training, for example, diabetes training. While not mandatory, this poses a risk staff may lack the necessary knowledge to provide appropriate care for people who were living with diabetes. The manager informed us they were in the process of developing the training programme further.

The provider did not always work well across teams and services to support people. They did not always share their assessment of people’s needs when people moved between different services. Visiting professionals told us there could be improvements in how weekly visits were organised. For example, staff were not always prepared with the correct information or understanding of certain care notes. However, they did acknowledge a noticeable improvement in the management and delivery of care over the past 9 months.

The provider supported people to manage their health and wellbeing to maximise their independence, choice and control. Staff supported people to live healthier lives and where possible, reduce their future needs for care and support. For example, diabetic care plans were detailed, and diabetic options were offered for meals and desserts to people who required them

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and they met both clinical expectations and the expectations of people themselves. For example, weekly GP visits to the home evidenced appropriate reviews and referrals for people who needed them, such as those experiencing weight loss. Feedback from professionals was positive, and evidenced staff acted upon advice they provided.

Records showed there was a recent delay in reapplying for an application for a Deprivation of Liberty Safeguard for 1 person. The manager identified this issue through their own audits and has since improved the process for tracking applications to prevent future delays.

Despite this, the provider told people about their rights around consent and respected these when delivering person-centred care and treatment.

Care records evidenced people’s capacity to consent had been assessed and where appropriate, decisions had been made in people’s best interests.