24 Hythe Avenue

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.

This is the first assessment for this newly registered service. This key question has been rated 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.

The provider told us that when they received a referral to provide support they obtained all the significant information from the referring body and the relevant teams. If they were able to offer support they would meet with the person (and any representative the person would like to be involved) to complete an assessment and discuss the person’s needs and expectations. They would then encourage the person to visit the service to ensure it met their needs.

Once the person started using the service the assessment was reviewed with the person and care plans and risk assessments developed and agreed. These were regularly reviewed to ensure they continued to reflect the person’s needs and choices.

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.

Staff planned and delivered people’s support with them. They did this in line with legislation and current evidence-based good practice and standards. They followed the principles of the Mental Capacity Act 2005 to ensure people were supported to make their own decisions and choices. Where people had been prescribed treatment by a healthcare professional they supported people to follow the appropriate treatment plan.

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.

Staff told us they worked together as a team to support people. They told us there was effective communication across the team and with the provider. This helped ensure staff knew about the current support people needed or any changes that were planned.

The provider told us how they worked with external professionals, with people’s consent, to ensure people received the support they required.

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 were supported to stay healthy. People made their own medical appointments and then discussed with staff any support they needed. For example, one person required staff to support them each time they went out and this included medical appointments. The person told us, the reason why they needed staff to support them.

Where people were living with health conditions staff told us, and care plans demonstrated the support people needed to remain healthy and included actions to take if people became unwell. One person had been recently diagnosed with a health condition and was attending educational groups to learn about the condition and how to manage it. The person told us this was really helpful and they were learning a lot. Staff accompanied the person and they also said they found the sessions informative. It was increasing their knowledge and understanding of the condition and the support people needed to manage it effectively.

Staff understood people’s health needs and how to support them to maintain good health.

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they met both clinical expectations and the expectations of people themselves.

The provider and staff told us how they worked with people to improve outcomes related to their independence and support needs. They told us how it had been identified certain triggers may exacerbate one person’s health condition. Using this information, they were able to support the person, to reduce the triggers and help the person maintain better health. This was confirmed by one person we spoke with and also recorded within care plans.

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

The Mental Capacity Act 2005 (MCA) provides a legal framework for making particular decisions on behalf of people who may lack the mental capacity to do so for themselves. The MCA requires that, as far as possible, people make their own decisions and are helped to do so when needed. When they lack mental capacity to take particular decisions, any made on their behalf must be in their best interests and as least restrictive as possible. People who were using the service were deemed to have capacity to make their own decision and choices.

Staff demonstrated a good understanding of capacity and consent. One staff member told us, “Everyone has capacity, we have to respect the decisions they make.” One person told us they were able to make their own decisions and choices.