Lynbrook

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.

Specialist professionals were involved in the assessment of people’s needs and when required the development of positive behavioural support plans (PBS). A PBS plan is a person-centred strategy to understand and manage behaviours that can be challenging. Instead of just focusing on the behaviour itself, it works to improve the individual's quality of life by addressing the underlying causes, what they are trying to communicate, and how to find positive outcomes.

Assessments included consideration of people’s physical, mental health, sensory, social and communication needs.

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.

Relatives told us their family members got enough food and drink to prevent malnutrition or dehydration. Staff were able to tell us how people requested food and drinks and where they preferred to eat their meals. Documentation showed people were able to go shopping for snacks and drinks with staff support. Records showed people had maintained a safe stable weight over several months.

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.

Staff told us there was excellent communication between their staff team and to and from management. One staff member told us, “We have daily handover meetings every shift.”

Relatives told us they were kept up to date about family members’ lives. One relative told us, “They always give me an update on what [family member] has been doing.”

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 access routine health monitoring to stay healthy. This included health professionals visiting people at home and completing medicine reviews. The staff team had developed strategies in people’s best interests to combat their anxieties and deliver positive outcomes.

Staff had received suitable training to ensure they effectively supported people with their physical and mental wellbeing. This included keeping people (and other people) safe if they displayed distressed behaviours.

The provider routinely monitored people’s care and treatment to continuously improve it. There was analysis of information by the management team, on incidents that occurred, and actions taken.

People were supported to maintain their quality of life. The provider had their own transport that people could use to access social opportunities in their local area and further afield for day trips and holidays. People’s bedrooms had been personalised. For example, 1 person’s room had been decorated in the colours of their favourite computer game. Care records included details of activities and interests people enjoyed.

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

Care plans identified people’s capacity and staff understood the importance of obtaining consent before they delivered care or support. One care plan guided staff on 1 person’s ability to make decisions, stating, ‘Involve [person] in all decision making in regard to their daily routine.’ We saw best interest decisions were person centred, decision specific and included family members and appointed representatives when required.

However, 1 person had no relative or advocate supporting them in making decisions where appropriate. The provider took action to ensure all future decisions were reviewed and they were acting in the person’s best interests. Documentation related to people’s agreement to care required updating. The manager took action to ensure that this was discussed with relevant people and updated.