Support for Living Limited - 43 Shirley Gardens

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 assessed people’s needs so that they could deliver person-centred care. People discussed their needs with staff and the registered manager. They were able to contribute their views on what good care looked like. Staff created care plans. These were regularly reviewed and updated. When people wanted their relatives involved, staff also ensured they could give their views. People had regular meetings with key members of staff to discuss their care and request changes if they wanted.

Staff delivered evidence-based care. Staff undertook a wide range of training, including specialist training about mental health. The provider ensured staff had information about best practice and legislation. Staff told us they had the information they needed and felt they could ask for guidance when they had questions.

Staff had opportunities to meet with the registered manager and each other to discuss best practice.

There were systems for staff to communicate well with each other. Staff told us they took part in regular handovers of information when they changed shifts. They discussed people’s needs and any information about the service. Staff told us there was good written communication and they shared ideas and experiences. There were regular team meetings. Staff said these were useful.

Staff worked well with external professionals. They had regular meetings with the GP surgery to discuss people’s needs and to request referrals when they identified a need. The registered manager told us, “Work with the GP has been very helpful. They have reviewed [people’s] needs and helped us to access other teams for support.”

Staff supported people to stay well and live healthy lives. People felt empowered to be in control of their own health. A person explained, “I make my own appointments, but the staff come with me and help if I need.”

On the day of our visit, staff supported a person to communicate their needs with health professionals to ensure they received the treatment they needed in a timely way. People explained this type of support was useful and helped them access the services they needed.

Staff recorded information about people’s health within their care plans. They supported people to understand about healthy lifestyle choices, such as good nutrition and exercise. Some people had found accessing certain healthcare services difficult in the past. Staff had helped them overcome anxiety in order to attend appointments.

Staff monitored people’s wellbeing and helped them to achieve positive outcomes. Each person had an allocated key member of staff who supported them to set personalised objectives. They met each month to discuss and review these. People told us they felt supported by staff and were able to plan together. A relative explained, “[Person] is guided to set goals.”

Staff checked people’s physical and mental health and responded appropriately, involving the person and other healthcare professionals in discussions, when they identified changes in these.

The provider ensured people consented to their care and treatment. People were involved in planning their care and making decisions. People told us they were offered choices and staff always respected these.

People read and signed agreements about different aspects of their care and living at the home. The agreements stated that consent could be withdrawn at any time. People and staff supporting them understood this. Staff completed training about the Mental Capacity Act 2005. They understood about people’s rights and how to ensure people could make informed choices. Staff worked with people to help them understand their symptoms when they had a decline in their mental health. This empowered people to understand when they may make unwise decisions. Staff worked with people to provide information about keeping safe and monitoring their own conditions.

Everyone living at the service had the mental capacity to make decisions about their care.