18 Holt Coppice

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 service since it was registered in February 2022. 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, well-being and communication needs with them.

People’s needs were thoroughly assessed before they began using the service, ensuring the service could meet their individual requirements. Assessments were holistic and considered a wide range of needs, including physical health, mental wellbeing, communication, nutrition, mobility, and social preferences. Information gathered during assessments was used to develop detailed and personalised care plans, which provided clear guidance to staff on how to meet people’s needs effectively. Care plans reflected people’s current needs and were regularly reviewed and updated to ensure they remained accurate and responsive to change.

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.

Recognised tools were used to assess risks such as skin integrity, falls, eating and drinking, managing behaviours and health conditions. Where risks were identified, a plan of care was in place to manage and mitigate risks to people. People’s outcomes were regularly monitored, and care was reviewed to ensure it remained effective. The service worked in partnership with external healthcare professionals, including GPs, nurses, and specialist services, to ensure people received appropriate and timely support. Recommendations from professionals were clearly recorded in care plans and implemented in practice.
 

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’s care plans and individual risk assessment were accessible to care staff. These contained all the information needed to deliver people’s care and support appropriately. Managers shared necessary information with external teams involved in a person’s wider support to help ensure continuity of care was maintained. The provider worked in partnership with people’s families, professionals and other care agencies.
 

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.

Staff supported people to attend medical appointments where required. Staff recorded the outcome of medical appointments in people’s care records and care plans were updated where required to reflect any changes. People’s care records included information of their health conditions. They included information about symptoms care staff needed to respond to promptly. Care staff confirmed care plans contained all the relevant information they needed to care for people effectively.
 

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.

Robust processes were in place to monitor the care and support people received. Where people had risks identified with their health and well-being, care records detailed these and any monitoring required to ensure their needs were met and care was provided safely. For example, a person’s care record described the symptoms they may exhibit relating to their condition and how care staff should manage these whilst providing support.
 

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

The registered manager and care staff understood the importance of consent and assuming people had capacity to make decisions about their care and support under the Mental Capacity Act 2005 (MCA). Staff confirmed they had received training about the requirements of the MCA and demonstrated an understanding of its principles. A member of staff said, “I always explain the proposed support in an accessible way and obtain consent before proceeding. If a person refused support, I would respect the refusal, remain calm and try to understand the reason. I would explain the benefits and risks, offer choices or an alternative time, and avoid pressuring or coercing the person. I would record the refusal and inform my manager, particularly if it created a significant risk.” People chose where they lived and who they lived with. Each person had a tenancy agreement which detailed costs, rights, and terms and conditions. It was clear people could choose to have a different care provider if they so wished.