Enable Care And Support Limited

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• 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 and the registered manager had processes to ensure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them. Staff said managers completed the initial care plan and risk assessment. People were then involved along with the team leader in reviews and updates. Any changes were then be approved/signed off by a manager. Staff said they had access to people’s care plans and risk assessments. They were aware of those people assessed as at risk of falls, those who needed support to leave the building, those who displayed behaviours that challenged and how they worked with/managed those needs/concerns.People and their families were involved in the assessment of their needs, and support was provided where needed to maximise their involvement. People’s individual needs had been appropriately assessed and were fully understood by the staff. One relative told us the person’s needs were met and understood by the staff team. People told us they were happy with staff’s support.A professional added, “The service is highly effective in identifying and addressing the individual needs of [people]. Assessments are person-centred, comprehensive, and holistic. I have observed that health, psychological, and social needs are reviewed in partnership with external professionals and family members where appropriate.”

The provider and the staff team planned and delivered people’s care and treatment with them, including what was important and mattered to them. People and their relatives or others that mattered to the person had been included in discussions and reviews around their care and how this was to be delivered. The staff team and the registered manager were motivated to plan and deliver people’s care and treatment, including what was important and mattered to them. Staff noted specific details about people and what worked or did not work for them. They demonstrated great understanding and compassionate approach to people’s needs that helped ensure people felt supported and looked after.People were supported to meet their nutrition and hydration needs in line with current guidance, and it was managed with staff’s support. People told us the staff helped them with preparing meals and managing the menus. One professional noted how staff supported a person with their diet. They said, “Yes, the provider has supported the person I am working with to expand their previously very limited diet and have done this successfully.”Another professional added, “Nutritional and physical health needs are actively supported, and I have seen evidence of care staff monitoring hydration, diet, and medication adherence appropriately.”

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. The registered manager and the staff team worked and communicated well with each other, people and families to share information or changes between them. Staff spoke positively about people’s achievements and improvements in their health and wellbeing. People received care and support from the staff who knew them and their needs well. This meant they received person-centred care that was meaningful to them. Some staff felt the organisation did well in enabling the progress of people’s needs. People were supported to access lots of activities as individuals and came together as a group at different events to facilitate and enhance social interaction and get to know other staff who needed to work across services. Staff felt there was a good working environment, saying teams worked well together and staff had done an amazing job. One staff said, “We are proud to have a permanent staff team which supports someone who finds changes very difficult.” Where needed, the registered manager and the staff contacted relevant professionals to work together and look after people.

The registered manager and staff team supported people to manage their health and wellbeing to maximise their independence, choice and control. Staff supported people to live a healthier life and where possible, reduce their future needs for care and support.The registered manager and the staff supported people to prevent any deterioration of health and wellbeing. Necessary support or advice was sought from health professionals as and when needed.

The provider and the staff monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent. People had care and support that was co-ordinated, and everyone worked together.Staff supported people so they were enabled to live as they wanted to, seeing them as individuals with skills, strengths and goals. Staff were patient and used appropriate styles of interaction with people. Staff talked about minimising people’s anxiety and offering positive distractions. Staff talked about distraction techniques, offering space, using a second person and staff consistency as a means of supporting people who may become upset, distress or anxious.The registered manager and the staff worked together to use effective approaches to monitor people’s care and treatment and their outcomes.People said, “Yes I have what I need, and we can discuss things” and “Staff will help me [with appointments]”.

The provider and the registered manager supported people with their rights around consent and respected these when delivering person-centred care and treatment. The registered manager explained how they supported people and staff to ensure decisions were made in the best interest of people but still remained safe.People’s rights to make their own decisions, where possible, were protected. People told us the staff supported them to make decisions without any restriction.Staff understood the need to help and encourage people to be involved and make decisions. Staff supported people to make decisions, choices and look after themselves. Staff used respectful language, and they spoke about people’s abilities and positive qualities as well as their care needs. Staff were aware of people’s needs around making specific decisions and the areas where people were most vulnerable such as handling finances and road safety. Staff were aware of people’s restrictions and how to support them in their best interest. People told us staff respected their decisions and supported with choices.