Coalway Lane

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 the last inspection we rated this key question good. At this inspection the rating has remained good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 79 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

Staff made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them. The staff worked closely with the crisis and hospital teams when considering new admissions to the service. They ensured the assessments were completed in a timely manner and they only accepted people when their needs could be met without destabilising other people’s recovery. This careful consideration had enabled the staff to admit people with very complex needs and successfully support them to recover then move forward to more independent living settings. The staff routinely checked people were satisfied with the service and whether any needs had changed.

Staff 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. They worked to develop evidence-based good practice and standards. Staff ensured best practice guidance was obtained and followed, for example they used models based on personal responsibility for assisting people to manage periods of self-harm. We also observed staff followed best practice around working with people who experienced various mental health needs. A person said, “I have used the service a couple of times and find staff really know how to help me sort myself out.”

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. Staff worked in partnership with the local crisis team and mental health hospital staff. The crisis team directly referred people to the service and then visited daily to ensure the support was meeting their needs. In conjunction with staff feedback they determined how to best support individuals. The hospital staff referred people to the service and continued to work closely with the team as people moved towards discharge to less supported environments. The staff were effective at asking for additional support when needed. A professional said, “I have found this service very positive in providing a safe transition towards service users securing their own tenancies. Currently I have 1 person funded through section 117 aftercare and [person] reports that this is the best placement to meet their needs.” The provider had worked with a housing association and provided them with a unit at Coalway Lane. The availability of onsite access to a housing provider with a staff team who provided outreach services enabled people to experience a smoother transition to the community. A person said, “It is really good that the staff work well with my community team, as it means they know how I am and when I will need them to start helping me move on.”

Staff supported people to manage their health and wellbeing 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. Staff liaised with external health and social care professionals to ensure people received consistent care and support. They routinely engaged with wider professionals such as community mental health teams and psychiatrists. People, relatives and professionals reported individuals had experienced extremely positive outcomes since moving to the service because of the staff’s skilled approaches when supporting individuals. A person said, “Staff have really helped me turn my life around.”

Staff routinely monitored people’s care and treatment to continuously improve it. They ensured outcomes were positive and consistent, and they met both clinical expectations and the expectations of people themselves. People, relatives and professionals reported individuals had experienced positive outcomes since moving to the service. Staff worked as a team to ensure people’s support needs were met. A professional said, “[Person] lived there last year and can honestly say that the care they received was excellent and was very person centred. The staff team and management dealt with a number of complex and challenging situations and formed positive trusting relationships with the person, which really aided their recovery.”

The service told people about their rights around consent and respected these when delivering person-centred care and treatment. Staff understood the requirements of the Mental Capacity Act and associated codes of practice. They appropriately completed capacity assessments and ‘best interests’ decisions. At the time of the inspection no one lacked capacity to make decisions. Staff worked with people who may be subject to community treatment orders and conditional discharges. Staff had a good understanding of their role supporting people to understand their right to appeal under the Mental Health Act 1983 (amended 2007).