Support for Living Limited - 25/27 Haymill Close

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.

Managers assessed and planned for people’s needs. Everyone had lived at the service for a long time. Staff regularly reassessed their needs and responded to changes in these needs. Relatives told us they were asked for their views and were involved in reviews of care. A relative commented, “I am fully involved in the annual review, and this goes well.”

The provider delivered evidence-based care and treatment to people. Four subject matter experts (senior members of staff) worked with care staff within this and other local care homes managed by the provider. They provided training and guidance for staff, observed practice and liaised with healthcare professionals to ensure people received good quality care. The expert for health and wellbeing spoke with us about the work they were undertaking to improve healthcare and clinical support for people. The provider arranged for staff to complete regular training about the use of healthcare equipment and interventions. Visiting nurses assessed staff skills and knowledge.

Some people required specialist support to meet nutritional needs. Staff worked closely with visiting nurses to ensure their needs were met.

Staff undertook comprehensive training about people with a learning disability and autism. Staff told us this was helpful and gave them better skills to deliver appropriate care. A member of staff commented, “This training was very enlightening because we heard stories and life experiences from people with a learning disability.”

Staff worked closely with each other. They had regular meetings and daily handovers of information. Staff followed a structured plan each shift to ensure they completed all the required tasks and met people’s needs. Staff told us they had regular discussions with managers and senior staff. Team meetings included learning from incidents and things that went wrong.

Staff worked closely with external professionals to share information and follow their guidance.

Staff assessed, monitored and met people’s healthcare needs. They worked closely with doctors, nurses and other healthcare professionals when needed. People living at the service had regular health checks and medicines reviews. Staff advocated on behalf of people when liaising with healthcare professionals. They explained how they had spoken up to ensure people received the treatment they needed and were not dismissed because of their disabilities.

Staff responded quickly and appropriately when people became unwell.

Staff monitored people’s food and fluid intake and weight. They provided a choice of freshly prepared nutritious meals.

Relatives told us staff supported people to stay healthy.

Staff monitored people’s wellbeing to make sure they were receiving the right care to meet their needs. Relatives told us staff adjusted care when needed. They gave us examples about how the staff had responded when people became unwell or had a change in needs. A relative explained how staff had purchased new equipment when they noticed that a person was uncomfortable.

Staff completed training to understand how to take and understand people’s clinical observations, such as temperature, oxygen saturation levels and blood pressure. They made these checks when people became unwell and following accidents and incidents. They shared the information with relevant healthcare professionals and used it to monitor people’s recovery or any decline in wellbeing.

The Mental Capacity Act 2005 (MCA) provides a legal framework for making decisions on behalf of people who may lack the mental capacity to do so for themselves. The Act requires that, as far as possible, people make their own decisions and are helped to do so when needed.

The provider assessed people’s mental capacity to make different decisions. People living at the service did not use words to communicate. Staff considered their individual communication needs and tried to present choices in a way people could understand. People lacked the mental capacity to make complex decisions. Staff told us they liaised with their representatives to discuss the best interests for each person with different decisions. Staff completed training to understand about their legal responsibilities and were able to explain these to us.

Relatives told us they were involved in important decisions. They explained that staff provided stable consistent care which ensured people understood what was happening and felt prepared and safe.