Inshore Support LTD - Supported Living

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.

There was a process in place to ensure people’s needs were assessed. The assessments we reviewed considered people’s individual risks, needs and preferences. Relatives and those important to people were involved with the process. A relative told us, “I have been involved in the assessment of [person] and provided details of their background and their current needs.”

The provider planned and delivered people’s care and treatment with them, including what was important and mattered to them.

The provider understood the current legislation, national standards and evidence-based good practice guidance relevant to their service and applied these effectively. The provider had systems for ensuring they keep up to date and embedded this in their service. For example, the provider analysed data with a view of reducing restrictive practices in accordance with the principles of the restraint reduction network.

People were supported to live close to their family and friends to enable them to maintain contact and visit. A relative told us, “I am happy [person] lives closer to me now it makes visiting easier.”

The provider based their care plans and risk assessments on best practice guidance and used clinical tools to ensure people’s needs were identified and met.

The provider worked well across teams and services to support people.

The provider worked in partnership with external agencies to ensure people’s needs were met. Hospital passports were in place to support people accessing health care appointments. These provided key information about people’s needs, communication and accessibility requirements to enable healthcare professionals to be aware of these.

The provider supported people to manage their health and wellbeing to maximise their independence, choice and control.

Staff had care plans and risk assessments in place to support and guide them to promote people’s independence. For example, some people were supported to make their own meals or complete their own care tasks. People were supported to choose healthier options within their diet to support a healthy diet. Discussions with staff demonstrated how staff monitored people’s well-being and any changes were recorded and escalated as required. A staff member told us, “We work closely with people and any changes in their presentation are monitored as people are not always able to tell us when they are not feeling great.” A relative told us, “Staff are good at recognising signs [person] is not their usual self. This is picked up and I am told about any changes so we can plan what the best course of action is.”

When people needed support from external health professionals there was a system to ensure referrals were made and care plans were updated to reflect any changes or recommendations.

The provider routinely monitored people’s care and treatment to continuously improve it. However further improvements were required to ensure records were detailed across the service.

There were systems in place to ensure people’s needs were identified, assessed and reviewed to ensure positive outcomes were achieved for people. The registered manager told us about some of the individual goals and aspirations people were supported to work towards. These included completing care tasks independently, visiting places people enjoyed and going away on holiday. A relative said, “Staff encourage [person] to go out more and enjoy life. If they didn’t [person] would just stay in bed all day.”

Although goals were part of people’s care plans, these were not always recorded in detail in people’s daily wellbeing records, to reflect people’s progress. This was shared with the registered manager who was receptive to this feedback and to improving this.

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

Care plans considered what decisions people could make for themselves, such as what they chose to wear or eat. For people who were not able to verbalise their choices information was recorded about how some people used objects of reference, visual aids and Makaton to support their consent to specific decisions. A staff member told us, “People can tell us if they want to do something or not by their body language and expressions if they are not able to tell us verbally.”

Capacity assessments and best interest decisions were in place when needed to ensure the Mental Capacity Act was applied. Staff had received training in this area and were aware of the processes to follow.