22 De Parys Avenue

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 needs were assessed when they started living at the service and were reassessed if they changed. Staff were supported in line with the Mental Capacity Act (MCA) and staff offered people choices in their day to day lives. People were asked for consent in relation to all aspects of their support.

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.

Processes in place to assess people's needs when they started living at the service were thorough and covered their likes, dislikes and preferences. The management team reviewed people’s care plans and risk assessments regularly to make sure changes were documented. The management and staff team worked well with other professionals if they needed support to help people with their support needs. For example, a colleague who worked for the provider to help people understand how they were feeling had been contacted to support the staff team to work with a person who wanted some help in this area.

Staff spoke about how they were supported to get to know a person who had recently started living at the service. They told us assessments were detailed and thorough and they were also given time to spend one on one time with people to make sure they understood their support needs. They spoke about how well the registered manager had kept care plans and risk assessments updated for a person whose needs had changed and how this had helped them support the person in the best way they could.

People’s needs were assessed when they started using the service. One relative explained how well this had been supported for their family member. They said, ‘‘[Family member] has a lot of different needs and can put themselves in vulnerable situations. The registered manager and staff have considered all of this and have managed to put things in place to help them keep safe but not restrict them at all. [Family member] needs constant engagement and within the first week of living there staff had them busy around the house and going out and about regularly. I cannot fault it.’’ Another relative explained that their family members health needs had changed significantly recently and had been supported well by the registered manager and staff at the service. They said, ‘‘[Staff] went above and beyond with all the changes, even helping [family member] by staying with them for long periods in [health setting]. They have supported them with different diets and [family member] is getting better every day. This is all down to the fantastic staff team.’’

We did not look at Delivering evidence-based care and treatment during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at How staff, teams and services work together during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at Supporting people to live healthier lives during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at Monitoring and improving outcomes during this assessment. The score for this quality statement is based on the previous rating for Effective.

The registered manager had processes in place to ensure the principles of the MCA were followed at all times. Where necessary, capacity assessments were completed and decisions were made for people in their best interests. If a person needed to be deprived of their liberty, this was done in line with Deprivation of Liberty Safeguards (DoLS) and in line with best practice and current legislation.

People told us they were asked for choices in their day to day care. One person said, ‘‘I can go out whenever I want. We do make a menu all together but we can eat what we want if we change our minds.’’ A relative told us, ‘‘They respect [family members] choices even though it means a lot more support is needed. It is excellent.’’ The registered manager spoke with people about decisions they needed to make around the service that would impact them to make sure they consented to this. For example, due to one persons support need, access to some food items were restricted. People were all asked to consent to this and measures were taken to minimise the restrictions to the point where people were not impacted. One person told us, ‘‘[Decision] was made to keep [person] safe. I was asked if this was OK and to be honest all the food I want is still where I need it. No problem.’’

Staff had training in the Mental Capacity Act (MCA) and were knowledgeable about this and how it impacted how they support people. The registered manager had a firm understanding of the MCA and ensured that any decisions made were with people, their relatives and any necessary professionals and were in line with people’s best interests. Decisions made were always the least restrictive option for the person concerned.