Ayeesha-Raj 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

People’s healthcare needs were documented. Staff worked in partnership to keep people healthy. People had consented to their care and treatment.

This service scored 71 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

People and relatives felt involved in their care. We saw evidence thorough pre-assessments were completed to ensure staff had information and guidance available to them to effectively provide safe care and treatment.

The registered manager evidenced joined up working with health and social care providers to understand the needs of people prior to the admission to the service. We saw evidence of transition with staffing groups who shadowed hospital staff to understand the person's needs and ensure the staff could provide as effective care as possible.

Processes were in place to support effective assessment of people's needs.

People appeared happy and safe and were supported by staff who knew them well.

Staff were knowledgeable about people and how their care needs should be met. Staff felt they had been appropriately trained and felt able to access additional training and support from health and social care professionals as required if people's needs changed.

Links were established effectively with partner agencies, and collaborative working took place. Processes were in place to support the provider to effectively deliver care in line with best practice and people's needs.

People were supported by staff who knew them well. Handovers and information sharing took place and were effective.

Staff felt communication at the service was effective, and there were channels in place to share information and seek support as and when required.

Feedback viewed from health and social care professionals was positive.

Processes were in place and effectively used to support information sharing and joined up working. This meant people did not need to repeat their stories and ensured their needs were appropriately assessed.

People appeared to be happy and were able to make choices about their daily care needs and activities.

Staff were aware of people's needs and wishes and supported them to lead their lives in a way that they wanted. However, the culture around inclusion was dated around what activities are available to people. The staffing group was secure, however, most staff had experienced Ayeesha Raj as being their only caring role, and had not experienced other types of care and support that is delivered. This had limited the horizons of staff and potentially the opportunities available to people.

Processes were in place to support people to manage their health and wellbeing. We saw evidence of people being supported to attend health and wellbeing checks, and information in different formats were given to people to maximise their understanding where possible.

We saw evidence people attended appointments and health care screenings regularly.

The provider and staff team had positive engagement with health and social care professionals. Any changes to people's health was identified and relevant health and social care professionals were contacted.

Processes were in place to ensure people's health and social care needs were met.

People were able to make choices and consent to care. Staff respected their wishes.

Staff understanding of consent was appropriate and staff understood people could not be forced to undertake any element of care if they did not wish to. Staff were undertaking reviews of capacity in relation to decision specific tasks but were not always aware they were making judgements and decisions in accordance with Mental Capacity Act.

The provider had policies in place that were detailed and provided guidance and information on the mental capacity act, and how to apply it. Mental capacity assessments undertaken however, demonstrated the process was not always followed and improvements were required. For example, assessments were not always detailed and lacked information around questions asked and responses provided. The registered manager was receptive to feedback around completion of mental capacity assessments and demonstrated understanding of the mental capacity act.