Ivolve Derbyshire Supported Living

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 newly registered 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, wellbeing and communication needs with them.

People were involved in the assessment of their needs, where they had the capacity to do so. Staff supported people to be as involved as possible in their care and make decisions about how they wanted care to be provided, including identifying any triggers which could affect people’s wellbeing. The plans guided staff in how to consistently support individuals and included a range of assessment tools to ensure individual needs were identified and understood. Staff spoke about one person whose communication was limited, where they had identified the specific word they used that identified it was time to respect their boundaries and leave.

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 care and support in line with their individual assessments and care plans. People were supported to take part in the planning, shopping, and preparation of their meals and activities around the home where appropriate. Several people and families were happy with the care they had received and how they had been supported to gain confidence and develop skills for independent living. One person said they were hopeful of soon moving out into their own flat in the local community.

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 had access to the information they needed to appropriately plan and deliver people’s care and support. Managers told us they routinely shared necessary information with external teams involved in a person’s wider support. This helped ensure continuity of care was maintained. People were supported to access community health services, such as the dentist or GP, as well as more specialist health services if necessary. People confirmed that staff engaged with their relative, if this was agreed, relating to decisions about their care needs and any additional support.

The provider 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.

People were supported to access their healthcare appointments to discuss their health needs. Staff encouraged and supported people to make healthier choices to maintain their wellbeing. However, staff also understood that people had the right to make their own choices about what they wanted to eat, drink, and how they wanted to spend their time.

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.

People were happy with the support they received from the provider. We saw people enjoyed choosing activities including a wide range of community-based activities. One manager shared how they gathered important information to assess for any new referrals, to determine if the new person would be compatible with people already living in the property. They shared how this helps to create a calm and relaxed living environment, reducing the potential for any distressed or anxious behaviours. Leaders were working with people, their representatives and staff to build a culture that focused on enabling people to enjoy a full life. People were supported to develop new skills and we spoke with advocacy representatives who confirmed people were supported with understanding their rights and any concerns were discussed in planned reviews.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment.

People were given choices and able to consent to their care and treatment. Staff demonstrated they understood about offering choice and how to assess people's mental capacity. For example, a staff member explained how choices need to be explained in simple short sentences to enable one person to understand what decision they were being asked to make. Where people had been assessed as lacking the capacity to make informed decisions, the provider consulted others such as families and/or independent advocates, where appropriate. (Advocacy services offer support to help people express their views, understand their rights, and make informed decisions about their care and support). Details of those decisions were recorded in people’s individual care records.