Real Life Options - 90 Capel 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.

People’s needs were assessed and planned for. People and their relatives where appropriate had been involved in the care planning process.

People's needs had been assessed and care plans contained detailed, clear and consistent information for staff. People's risks had been identified and were monitored. People were supported in line with current best practice.

Care support plans were of a good standard. They were person centred and contained detailed information about how to support people. Care plans were reviewed to reflect changes in people’s needs, wishes and health conditions.

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.

Care records showed that a variety of evidence‑based assessments were used to monitor people’s needs, including assessments for personal care, mobility, eating and drinking, and activities. Where risks were identified, appropriate risk assessments and management plans were in place to reduce harm and promote people’s safety and independence.

Each person had an eating and drinking support plan that was kept under review. Staff monitored people’s diet and provided support where appropriate. Where people were unable to verbally communicate their food preferences, pictorial aids were used effectively to support choice and decision‑making.

People were supported to access their local community, make informed choices about their care and treatment, and were assisted to engage with relevant healthcare professionals when required, promoting positive outcomes and wellbeing. Staff knew people well and had developed positive relationships based on trust. People were supported to maintain relationships with their relatives and those important to them. The manager was aware of people’s individual needs and interests and explained that there was an emphasis on mixing and socialising with people outside of the home. For example, people were supported to attend a day centre and also interact with people in another home.

Staff undertook a range of training to help them perform their role effectively. Staff told us training was helpful, and they felt appropriately skilled and well informed.

The provider worked well across teams and services to support people. Where appropriate, professionals were involved in the people’s health, care and support.

Communication systems were in place. Regular meetings were held for staff and provided an opportunity for staff to share information about the running of the service and people’s individual needs.

Staff worked with external healthcare professionals. Management communicated with various professionals such as the local authority, GP and community mental health teams.

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.

A system was in place to help monitor people’s health and well-being. Staff recorded people’s daily progress. Management used these notes to help monitor people’s progress.

Staff were knowledgeable about people’s health and care needs. Where people required assistance with food and drink, guidance was in place, including for those with special dietary requirements.

The manager explained that healthy eating was actively promoted in the home and said that people were offered home cooked meals daily. There was a focus on avoiding heavily processed foods. Records and discussions demonstrated positive health outcomes, including attempt to reduce cholesterol and the risk of diabetes.

Staff showed a good understanding of their role in promoting people’s health and wellbeing. They supported people with their physical health needs as well as their emotional and mental wellbeing. Clear processes were in place to enable people to make informed choices about their own health and wellbeing, and staff followed detailed guidance to ensure consistent and effective support.

The provider routinely monitored people’s care and treatment to help continuously improve it. They ensured that outcomes were positive and consistent.

Care plans included information about how people wanted to be supported to achieve their outcomes. Staff were able to respond to people’s changing needs promptly to help promote positive outcomes.

People’s care plans included information about personal care needs, health and wellbeing, mobility, future goals and aspirations, family connections, community and social engagement, independence and routine. Management checked records and liaised with staff to help ensure appropriate action was taken when monitoring and responding to people’s needs.

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

Systems were in place to help ensure people’s consent was obtained before care and treatment was provided. The provider had a Mental Capacity Act (MCA) policy, and staff had received training to support their understanding of the MCA and their responsibilities in practice.

Information about people’s capacity and ability to make decisions were documented in their care records. Where people lacked capacity, best interest decisions were made and documented.