Vision Day Support

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 assessment for this 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 provider made sure people’s care and treatment was effective by assessing and reviewing their health, care, well-being and communication needs with them.

Comprehensive assessments were carried out before people started to use the service to ensure their needs could be safely met. These assessments considered individual preferences, risks and desired outcomes. Assessments were regularly reviewed and updated to reflect any changes in people’s needs, ensuring support remained relevant and effective. They were used to develop and inform person-centred support plans.

The provider 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.

Recognised assessment tools were used to support safe and effective practice, including specialist input where required. For example, Speech and Language Therapy (SALT), to meet people’s communication and dietary needs. There was clear evidence that current best practice guidance was implemented across the service. Learning from training sessions, webinars and external resources, including Skills for Care, was shared with staff and embedded into daily practice.

The provider 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.

Staff we spoke with told us they worked well together as a team and felt supported by managers. They told us how they worked closely with a range of professionals to meet people's health and well-being needs. Records showed regular contact with external services.The staff team communicated effectively through handovers and daily records. Relatives told us staff communicated with them regularly, keeping them up to date with events concerning their loved ones.

The provider supported people to manage their health and well-being 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.

People’s health needs were regularly monitored, with appropriate support in place to respond to any changes. People were supported to access healthcare services, including routine and specialist appointments. This included annual health reviews for ongoing oversight of people’s health needs.

People were supported to maintain good nutrition, with staff promoting healthy eating and hydration. Where individuals required specialised diets, these were well managed in line with professional guidance.

The provider 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.

Support was regularly reviewed to ensure it remained effective and responsive to people’s changing needs. People’s goals and aspirations were clearly identified, planned for, and embedded within support plans. Progress towards these outcomes was consistently monitored, with adjustments made where required to improve effectiveness.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. People’s capacity to make decisions about their support was assessed in line with relevant guidance. Staff demonstrated a good understanding of how to support people to be as involved as possible in making choices and decisions about their lives. They used appropriate communication methods, such as signs and pictures, and adapted their approach to meet people’s needs. A person told us, “I make my own decisions; if I can’t decide staff help me to understand.”

Where people lacked capacity to make specific decisions, best interest decisions were recorded. Records identified who was involved in the decision-making process and provided rationale for the decisions made.