HF Trust - Trelowen

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 requires improvement. At this assessment the rating has changed to 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.

Care plans were updated regularly and when people’s needs changed. Care plans contained information about people’s communication needs and emotional well-being as well as any health needs. An agency worker told us care plans had been a useful source of information when they were getting to know people.

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.

A recognised pain scale was used to assess indicators of pain in people who might find it difficult to clearly verbalise their needs. This was in line with best practice guidelines.
People were supported in line with Right support, right care, right culture guidance. The guidance had been shared with staff who had signed to indicate they had read it.

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.

The service worked with health care professionals from external agencies including Speech and Language Therapists, physiotherapy, dieticians and GP’s. Any concerns about people’s emotional or psychological wellbeing were shared with the local learning disability team.
 

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 had identified a local gentle exercise group which was open to everyone and 2 people attended this regularly. People also enjoyed going swimming, walking and using accessible bikes.
Menus were varied and there was plenty of fresh fruit and vegetables available.

The provider did not always routinely monitor people’s care and treatment to continuously improve it. They did not always ensure that outcomes were positive and consistent, or that they met both clinical expectations and the expectations of people themselves.

Daily records were kept to evidence how people had spent their day. However, the information in the records was task focused and lacked detail. For example, one entry stated a person had gone for a walk and enjoyed it. There was no detail about where they had gone, how long the walk was and what had worked well for them. This meant opportunities to share information about quality of life outcomes amongst the staff team might be lost.
If staff had any concerns about people’s health this was escalated to the appropriate healthcare professional.

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

There was a clear culture of including people in decisions about their care on a day-to-day basis. Staff continually checked with people about how they wanted to spend their time and where. One person had chosen to stay at home to be part of the inspection process rather than attend a normal group. A second person had opted to attend the group.