Ealing Office

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 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. Examples of people’s care plans were shared with us. People’s care needs were assessed and regularly reviewed. Care plans were in good detail for staff to follow. Everyone we spoke with told us they were happy with the care and support being provided by the service. Documents reviewed contained examples of good practice guidance. This meant people could be assured that their care and support was being delivered by a team with a clear understanding of their 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. Information in people’s care plans was clear and gave guidance to staff as and when required. For example, information on healthy diets was available if this was needed. Recommendations made by health care professionals were followed by staff. These recommendations were clearly documented in care plans which followed national guidence.. People told us staff knew them well and provided good care.

The provider worked well with other 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. Records we viewed showed the service were working in partnership with professionals such as GPs and district nurses. Communication was timely and effective. For example, a GP told us the care team responded quickly to a concern, which led to a good outcome for the person.

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. All the care plans we reviewed showed evidence of clear achievable outcomes for people. Staff promoted a healthy lifestyle and had guidance from healthcare professionals. Examples shared with us showed people had become healthier because of the care being provided. For example, a person’s nutritional needs improved as staff were encouraging and supporting the person on a daily basis.

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 professional standards and the expectations of people themselves. Outcomes were documented and actions were clear on how they could be achieved. Staff had guidance to ensure they could support people with their goals. People’s care and support were regularly reviewed, and changes were communicated to the team. People and relatives told us they felt all care needs were met by the team.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. People and relatives told us they were respected by the staff and consent was obtained before providing care and support. Staff had a good understanding of consent. Information shared by the provider showed that people had been consulted with and consent obtained. The provider followed the principles of the Mental Capacity Act 2005.