Derby 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. This is the first inspection for this newly registered service. This key question has been rated 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, well-being and communication needs with them. We viewed some people’s care records and saw an in depth needs assessment had been completed with each person before they were admitted to the home. For example, 1 person required 1 to 1 support in place to help them with risks around aspiration. We observed this person being supported correctly.

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. For example, 1 person was supported to maintain regular contact with their families, because they did not live local.

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. Each person had an assessment in place which was used as a snapshot document summarising their care and support needs. This was taken with people if they were admitted to hospital.

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. For Example, the service worked closely with people before they were discharged to ensure they could cope at home, to avoid readmission into hospital.

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. We saw examples of a multi-disciplinary approach to assessments and reviews. People were supported to set realistic timescales for their rehabilitation.

The service told people about their rights around consent and respected these when delivering person-centred care and treatment. There were examples of individualised decisions taking place. People had signed their care plans where able, and where verbal consent had been given, this had been recorded. People told us staff always asked them for consent before providing personal care.