Rocklee Residential Home Limited

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

People told us their care was reviewed and they could request additional meetings with the provider and other relevant professionals when needed.

Staff told us they had access to care plans, and they were informed of changes in people’s care. One staff member said, “Any changes or updates to care plans or risk assessments are shared in handovers, or via emails. These are also discussed during staff meetings.” The registered manager told us they had recently started to use an electronic recording system for storing care plans. However, people’s care plans were very similar and did not always contain the specific support the person received. The registered manager told us they were in the process of reviewing all care plans.

Care plans and risk assessments detailed how people were being encouraged to sleep well, eat well and reduce unhealthy choices such as vaping. However, some care plans contained conflicting information. For example, where people required support with their personal care, the care plan recorded they were independent in this task and did not require support. The provider updated the relevant care plans.

People told us they were supported in accordance with their choices and preferences. One person said, “We go on holidays. We can do what we want. I like going into town shopping. Some people go to the pub.”

Staff told us how they supported people safely. Staff were knowledgeable about people’s needs, preferences and dislikes. One staff member noticed 1 person was becoming anxious due to our presence in one of the communal rooms. They requested we moved into a different room. This was good because it demonstrated staff were observant to people’s presentations and feelings. However, where staff recorded daily notes, there were prolonged gaps between entries. The registered manager told us they did not have a policy detailing how often daily notes should be recorded. Although, they said they would develop guidance and share this with the staff team to set out clear expectations.

Care plans and risk assessments contained information regarding how conditions were to be monitored. However, care plans and risk assessments were not always kept updated with people’s changing needs. Where care plans recorded on-going monitoring was required, monitoring of these tasks were not always recorded. For example, 1 person often declined to follow health professional advice by wearing a medical garment. The care plan detailed staff were to monitor this, but this was not recorded. This meant the provider could not be assured staff monitored this medical garment and escalated concerns when the person declined.

People told us they attended health appointments as and when needed. One person told us, “Staff help me to attend dentists and doctors’ appointments.”

Staff told us they worked alongside other professionals. One staff member told us, “We work with the local authority, occupational therapists and the pharmacy. It is important we share information to make sure we are all on the same page and support people to live their best lives.”

Visiting professionals told us the provider involved other health professionals when supporting people. However, professionals also told us care plans and risk assessments required more detail and clearer action for staff to follow.

Care plans included meetings and appointments with health and social care professionals. However, where health was being monitored, such as people’s weights, care plans did not record when and how to raise concerns to other professionals.

People told us staff encouraged them to live well. One person said, “Staff ask me what I want to do or eat. They encourage me to eat and drink, sometimes I go into town and buy my own meal, it's up to me.”

Staff told us they encouraged people to remain healthy. One staff member said, “We encourage people to eat well and drink fluids, but it's not always easy as it's their choice. We give them the information and encourage them as best we can.”

Care plans recorded people’s weights and documented strategies to encourage people to live healthier lives such as taking part in regular exercise and eating healthily. Appointments with health and social care professionals such as doctors and dentists were recorded.

People told us they felt their health had improved. One person told us, “I think my health has improved.” They provided examples of how their health had improved through support from staff. Another person told us how their communication abilities had improved.

Staff gave us examples where people’s health had improved. One staff member told us about improvements to one person’s fluid intake. They said, “With the fluid chart we were able to track how much they had drunk so that they received the correct amount of fluid intake in a day.” They also told us about people’s weight monitoring and how people were supported to maintain a healthy weight.

Care plans detailed areas of people’s health which needed monitoring and improving. However, some care plans contained conflicting information and monitoring of people’s health concerns was not always recorded.

People told us staff listened to them and supported them with their choices. One person said, “We have residents’ meetings. Staff listen to me, they [staff] help me as best they can.”

Staff told us they supported people in accordance with the principles of the Mental Capacity Act. One staff member said, “The people we support have capacity to make their own choices, however some require more support than others.”

People living in the home retained capacity for making their own choices and decisions. However, care plans and risk assessments did not always reflect people’s choices and decisions. For example, where one person chose a particular gender of staff to support with personal care the care plan did not clearly reflect this choice. Where another person chose to have support to reduce their smoking habit this was not reflected as their decision.