Wilbury

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 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 supported in a way that reflected their individual needs and circumstances. People were able to explain why they were living at the service and how staff supported them to live as independently as possible. They were involved in decisions about their care. One person told us, “I never thought I’d be in a home, but I feel comfortable and settled here, and I get up and go to bed when I want." Care planning information reflected people’s needs and the support they required. Staff were able to access care information to support people effectively and described how care records were being reviewed and updated as part of the move to a new electronic care system.

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 were supported to receive care and treatment that reflected what was important to them, where they were able to express this. Where people were less able to communicate their wishes, care was planned and delivered in a way that reflected their known needs and preferences and supported their health and wellbeing. Plans covered key aspects of care, including people’s health needs, mobility and skin integrity, which supported staff to provide care that was consistent, appropriate and effective.

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 they moved between different services. People were supported by staff who worked together to ensure care was coordinated and effective. We saw handovers which were carried out in a structured way, with staff discussing each individual person and their support needs. This helped ensure staff had a shared understanding of people’s needs and how care should be delivered. Staff allocation sheets were in place and were clear and robust, setting out staff responsibilities and the support people required. This supported staff to work together effectively and helped ensure people received consistent care throughout the day.

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 maintain their health and wellbeing in ways that reflected their individual needs and preferences. Staff demonstrated an understanding of people’s health needs and supported access to healthcare services when required, including GP and other health appointments. Staff ensure people’s health needs were monitored and responded to appropriately. The provider worked with other health care professionals to support people’s wellbeing and acted on advice received. Records showed referrals were made when people’s needs changed, and information was shared to support continuity of care. The service worked with community health professionals and pharmacy professionals as part of this process to support people’s ongoing health needs. People were encouraged to maintain independence and wellbeing as part of everyday life. Opportunities were available for people to engage in activities and routines that supported their physical and emotional wellbeing, helping to promote a positive quality of life.

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. The provider used outcome audits and quality reviews to monitor the effectiveness of care delivery and identify any areas requiring review. Care plans were reviewed to ensure they remained up to date and reflected people’s current needs, including changes in health or wellbeing. Where audits identified learning needs or opportunities for service development, action plans were in place to support this. These arrangements supported ongoing oversight and helped ensure people received consistent care that met their assessed needs.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. People were involved in decisions about their care and treatment, and staff followed established processes to ensure consent was obtained before care was provided. Care records included information about people’s ability to make decisions and outlined how consent should be managed in practice, which supported staff to act consistently. Policies were in place to guide staff on consent, the Mental Capacity Act 2005 and best interest decision-making. These provided a clear framework for supporting people who required additional help to understand or communicate their choices. Staff asked permission before providing care, respected people’s privacy, and supported people to make everyday choices about their routines and preferences. Where others were involved in decision-making, this was recorded and reflected in how care was delivered.