OSJCT Coombe End Court

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 and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them.

People told us their needs had been assessed before they moved into the service. Managers completed assessments of people’s needs before they were offered a place in the service. The manager told us they wouldn’t offer a place to people if they couldn’t meet their needs. Staff told us they received good information about people’s 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.

People told us staff provided good support to meet their needs, including support to meet their nutrition and hydration needs. Comments included, “The food here is good” and “You do get options for your meals here”. Staff completed training in nutrition and food safety to ensure their knowledge was up to date. Staff were aware of people at risk of malnutrition and dehydration. We observed staff providing good support and encouragement for people to eat safely and maintain their nutritional intake.

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.

People told us staff worked well with other services, such as community nurses and GPs, to ensure they received the care they needed. A visiting community nurse was positive about the way the service worked with them, saying they were organised and supported them to meet people’s needs.

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 told us they were supported to use a range of health services, including the GP and community nurses. Staff escalated any changes to people’s health to the relevant healthcare professionals and made sure people’s health needs were reviewed if needed.

The provider had a proactive and positive culture of safety, based on openness and honesty. Staff listened to concerns about safety and investigated and reported safety events. Lessons were learnt to continually identify and embed good practice.

Incidents and accidents were recorded and reviewed by managers to ensure action to reduce the risk of a repeated incident were taken. Learning from incidents was shared with all staff to ensure they understood any changes to the way they needed to support people. Information from incidents was included in staff handover records, to ensure staff had key information at the start of their shift. Managers could access these systems remotely, meaning senior managers could maintain oversight of what was happening in the service.

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

People told us staff gained their consent before providing care for them. We observed staff working in this way throughout the inspection. Staff had been trained in the Mental Capacity Act and demonstrated a good understanding of consent issues. Staff understood the need to follow the best interest decision making process if people were assessed to lack capacity to consent to a specific decision.