Enabling Others Limited

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 inadequate. At this assessment the rating has changed to good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this. The provider was previously in breach of the legal regulation in relation to consent to care and treatment. Improvements were found at this assessment, and the provider was no longer in breach of these regulations.
 

This service scored 79 (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 and relatives confirmed this with one relative sharing, “I was heavily involved with the transition from hospital to community care; social and health workers and Enabling Others were involved. There was good communication and it was all handled well.” People’s care plans included assessments of their needs, wishes and aspirations to ensure the service was able to meet these. Staff developed support plans with people which focused on what was important to them and goals they wanted to achieve. They supported people to assess they were happy with their tenancies and understood their rights and responsibilities.

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.
The provider had policies in line with recognised best practice guidance. These included policies around safeguarding, medicines and supporting people with a learning disability and autistic people. Care plans were person-centred, current, and outlined clear approaches to positive behavioural support and least restrictive practice. Staff received specialist training relevant to people’s needs. For example, staff training, care planning and care delivery for people with epilepsy was based on current National Institute for Health and Care Excellence (NICE) guidance and best practice. Staff received training in positive behaviour support based on current best practice. They described how care plans guided them in using effective strategies and understanding the reasons behind people’s behaviours. A staff member told us, “We know [Name’s] routine really well and what can trigger their anxiety, for example, change. We use approaches that we know works for [Name] so we can help them to process things in their own time which calms them.” This approach helped staff create positive environments understand what may cause behaviour that may cause distress which minimised the use of restrictive 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 included their life history and experiences, what and who was important to them and their ambitions and goals. This helped people to tell their story and have their needs met consistently and safely. Staff shared relevant information and worked with external health and social care professionals to ensure people’s needs were understood and their wishes heard. For example, where people wanted to live and how they wanted to spend their time. This helped to ensure people had the right support in a timely way.

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 make healthy choices and maintain their wellbeing. They encouraged individuals to eat well, stay active and follow personal hygiene routines, adapting support to each person’s needs and preferences. A person’s representative told us, “Staff have been able to progress to taking [Name] to GP as part of a weight management plan. [Name] is positively engaging with this, eating healthier meals and has lost a lot of weight as a result.” A relative told us, “I am confident [Name] has good support with food and drink. They do big batch cooking on Sundays, and they tell me about that. They like baking and chocolate.”

Staff monitored people’s health and promoted independence, offering guidance and reassurance while ensuring people remained in control of their daily routines. This helped people build confidence and sustain healthier lifestyles.

The provider monitored all people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they fully met both clinical expectations and the expectations of people themselves.
People and relatives told us, and our observations during visits confirmed, the support people received promoted positive outcomes for their health and wellbeing. A relative told us, “[Name] has a routine planner every day mapped out; they need that. As they had been institutionalised for so long, it took a long time to develop things like going out and going in a car. Staff incrementally build where to go further and different places. [Name] likes the same route; staff handle [Name] well in those situations, like if a road is closed or roadworks.” A person’s representative told us, “I have known [Name] for quite a while, from when they were under the mental health act. They are doing so well living in a community, it is lovely to see. They have stable moods, are engaging with staff and trying new things. These things may look small to others, but to [Name] they are massive in what they have achieved.” We were shown case studies which dealt with issues such as institutionalisation, high anxieties, obsessive compulsive behaviours and behaviours of self-harm. People had been provided with opportunities to learn more about themselves and be involved in meaningful activities to achieve positive outcomes. These ranged from achieving and maintaining their health, to going out to local shops and resources and securing a work placement. For example, staff had worked to manage one person’s complex health needs which now enabled them to have the confidence to make choices as to where they wanted to go to and direct how staff provided their care. People’s homes had been fully decorated to meet their specific sensory, emotional and physical needs. This helped them to achieve positive outcomes from their immediate environment and fulfil their tenancy responsibilities.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. The provider had developed more effective systems to obtain and record people’s consent to their support. Care plans underpinned people’s human rights and the Equality Act 2010 to ensure staff recognised the importance of non-discriminatory practice which upheld the rights and needs of people in a lawful way. The environment and care practices were the least restrictive, but where restrictions were necessary there was clear documentation in place to show how they were in the person’s best interest and there were mental capacity assessmentsin place which were kept under review. People received copies of their support plans in accessible formats, enabling them to review and confirm their consent where appropriate. Where people needed support to aid their understanding, family members, or appointed professionals were available to help people through best interest decisions. For example, we saw these were in place in relation to medical care. We observed staff using people’s preferred communication methods to support them to make choices and decision, including speech, gesture, pointing and picture cards.