The Green

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 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, treatment and support was effective by assessing and reviewing their health, care, wellbeing and communication needs with them. Staff told us people’s needs and wishes were assessed, and this information was used to develop individualised care plans for them to follow. Staff said they were given the time to read through people’s care plans which meant they could become familiar with their individual needs, preferences and daily routines. One staff member said,” I have done Makaton training, lots on autism and other stuff you would never expect to learn about autism. It has been very positive and helped me both professionally and personally, and everyone knows the people here so much better because of the level of training and support we receive.”

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. People had access to nutritious food which reflected their preferences. The staff team worked with external agencies, such as healthcare partners to ensure people’s care was supported by current best practice guidance. This included guidance within care plans relating to people’s mental health or dietary needs.

The provider worked well across teams and services to support people. We saw they worked in partnership with various community-based health and social care professionals and agencies including, GPs, district nurses and social workers. We saw recorded evidence of guidance external health care professionals had provided for staff to follow.Staff told us they took part in regular handovers of information when they changed shifts. They discussed people’s needs and any concerns around the service. There were regular team meetings and staff said these were useful. Staff had opportunities to meet with the manager and team leaders to discuss best practice.

The provider supported people to manage their health and wellbeing to maximise their independence, choice and control. The provider supported people to live healthier lives and where possible, reduce their future needs for care and support. We saw in the care records people were given multiple choices and encouraged to take part in activities that were beneficial to their physical and mental health. The service supported people who required assistance with healthy eating and meal planning and preparation.

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured outcomes were positive and consistent, and they met both clinical expectations and the expectations of people themselves. We saw several positive outcomes for people and staff detailed how these positive outcomes were achieved with the support of managers and external healthcare professional. Care plans included information about how people wanted to be supported to achieve their outcomes and staff were able to respond to people’s changing needs promptly to help promote theses. People’s care plans included information about personal care needs, health and wellbeing, future goals and aspirations, family connections, community and social engagement, independence and routine. Managers checked records and liaised with staff to help ensure appropriate action was taken when monitoring and responding to people’s needs.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. Care plans included information and guidance on how people expressed those wishes. Staff demonstrated a good understanding of the Mental Capacity Act 2005 (MCA). Care plans showed where people were unable to sign, the provider had acted on their behalf in their best interests using the MCA principles to determine if people had capacity to make certain decisions. People’s relatives were consulted about health appointments when they lacked capacity. This meant appropriate arrangements could be made to make decisions in people’s best interests with health professionals and family involvement.