Alpenbest

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 71 (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 their care and took part in the assessment process. Staff liaised with people, their relatives and information from referring agencies to identify people’s care and support needs. These assessments took account of people’s support needs, but also their interests, preferences and communication needs. People confirmed their needs were regularly reviewed and they were involved in those review. Comments from people included, “They came to the house and do the review yearly I think.” And, “We have a care plan on my phone. The staff seem to review it constantly.”

We did not look at Delivering evidence-based care and treatment during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at How staff, teams and services work together during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at Supporting people to live healthier lives during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at Monitoring and improving outcomes during this assessment. The score for this quality statement is based on the previous rating for Effective.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. People’s care records included information about people’s capacity to consent to their care. However, we found in some care records there was conflicting information that was not in line with the Mental Capacity Act 2005 and mental capacity assessments were not decision specific. For example, one person’s records stated they had capacity to make decisions about their care, but due to concerns about their safety restrictive practices had been put in place around medicines management. This highlighted a lack of understanding from staff around the Mental Capacity Act 2005. The manager took on board this feedback and told us they had scheduled Mental Capacity training for their staff which was completed a few days after our site visit.

The care workers we spoke with were aware of the importance of asking people for their consent prior to providing support with personal care. A care worker said, “I do communicate with them to get the consent to start personal care so that they feel more comfortable and relaxed.” Staff adjusted their approach depending on people’s needs and how much they could understand and be involved in their care decisions. A care worker told us, “If the service user lacks capacity to decide, family members or legal representatives are involved to help express their wishes and protect service user's right.” People confirmed staff always asked before providing support. Comments from people included, “They always ask for consent,” and “They always ask and do as I ask.”