Cornerways

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

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.

Staff assessed the physical and mental health of all clients on admission. They developed individual care plans which were reviewed regularly through multidisciplinary discussion and updated as needed. Staff provided a range of treatment and care for patients based on national guidance and best practice. The team included or had access to the full range of specialists required to meet the needs of clients. Staff from different disciplines worked together as a team to benefit clients.

This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

We have not awarded this service a score for Effective.

Find out about when we will not publish a key question score and what we look at when we assess Effective.

We reviewed 6 care records at this inspection and saw that staff completed a comprehensive mental health assessment of the client in a timely manner at, or soon after, admission.

Staff assessed clients’ physical health needs in a timely manner after admission.

Staff developed care plans that met the needs identified during assessment.

Care plans were personalised, holistic and recovery-oriented.

Staff updated care plans when necessary.

Staff provided a range of care and treatment interventions suitable for the patient group. The interventions were those recommended by, and were delivered in line with, guidance from the National Institute for Health and Care Excellence.

Staff ensured that clients had good access to physical healthcare, including access to specialists when needed.

The team included or had access to the full range of specialists required to meet the needs of clients in the service. As well as doctors and nurses the service employed recovery workers and counsellors.

Staff were experienced and qualified and had the right skills and knowledge to meet the needs of the client group.

Managers provided new staff with appropriate induction.

Managers provided staff with supervision (meetings to discuss case management, to reflect on and learn from practice, and for personal support and professional development) and appraisal of their work performance.

Managers ensured that staff had access to regular team meetings.

All staff had received an appraisal in the last year.

All staff had received supervision in line with the providers policy.

Managers identified the learning needs of staff and provided them with opportunities to develop their skills and knowledge.

Managers ensured that staff received the necessary specialist training for their roles.

Staff held regular and effective multidisciplinary meetings.

Staff shared information about clients at effective handover meetings within the team (for example, shift to shift).

The teams had effective working relationships with teams outside the organisation (for example, local authority social services and GPs).

Staff supported clients to live healthier lives – for example, through participation in smoking cessation schemes, healthy eating advice, managing cardiovascular risks, screening for cancer, and dealing with issues relating to substance misuse.

Activities helped promote a healthy lifestyle for patients – for example walking groups, sports activities and cooking healthy meals.

While the service had one of its key performance indicators (KPIs) measuring clinical progress we saw that this was still not embedded in the service. The service had recently changed their KPIs and were still gathering data to allow benchmarking and other statistical methods.

Staff took all practical steps to enable clients to make their own decisions.

For clients who might have impaired mental capacity, staff assessed and recorded capacity to consent appropriately.

They did this on a decision-specific basis with regard to significant decisions.