Glenmore Trust - Northumberland Street

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

This service scored 67 (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, wellbeing and communication needs with them.

People's needs were assessed and reviewed using person-centred care plans which reflected their health needs, communication preferences, interests and aspirations. Staff demonstrated a good understanding of people's individual needs and support was generally delivered in line with people's preferences. Some records contained generic wording and could be further personalised.

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.

People received support that reflected and recognised good practice and their assessed needs. Care records included guidance relating to physical health, nutrition, medicines, emotional wellbeing, diabetes management and communication needs. Staff worked with a range of healthcare professionals to support people's health outcomes. Some records would benefit from stronger contingency planning and escalation guidance.

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.

People benefited from coordinated support involving staff teams, families, advocates, housing providers and healthcare professionals. Records demonstrated multidisciplinary working and information sharing across teams. Staff consistently described positive working relationships within local teams and told us they communicated effectively to support people safely and consistently.

The provider supported people to manage their health and wellbeing to maximise their independence,choiceand control. Staff supported people to live healthier lives and where possible,reduce their future needs for care and support.

People were supported to access healthcare services and maintain good health. Care records contained information about medical conditions, appointments, nutrition and specialist support needs. Staff worked alongside community nurses, psychology services and other healthcare professionals to help people maintain their wellbeing.

The provider did not always routinely monitor people’s care and treatment to continuously improve it. They did not always ensure that outcomes were positive and consistent, or that they met both clinical expectations and the expectations of people themselves.

Staff reviewed people's care and support regularly. However, records did not always demonstrate how the provider monitored progress against identified outcomes. Some reviews had not been updated consistently and outcome recording was incomplete. This limited the provider's ability to demonstrate the impact of support and improvements over time.

The provider did not always tell people about their rights around consent and did not always respect their rights when delivering care and treatment.

Staff involved people in day-to-day decisions and promoted choice and independence. People had their capacity assessed for specific decisions throughout the day staff. Staff had an awareness of the Mental Capacity Act 2005 and had training in this. However, records did not always demonstrate the steps that staff had taken to assess people's capacity. We discussed this with the provider who took immediate action to address this.