VanBeekDodge Complex Care

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 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 demonstrated a clear understanding of the service’s scope and the range of needs it could meet. Service management completed thorough pre‑admission assessments to ensure staff could meet their needs. People and relatives told us they were involved in initial assessments, and care plans reflected the outcomes agreed with them. The provider also reviewed assessments from external professionals to inform care planning.Systems were in place to regularly review people’s needs, and staff adjusted their care accordingly.

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.

The provider had policies in line with recognised best practice guidance. These included policies around safeguarding, medicines and supporting people with a learning disability and autistic people. Care plans were person-centred, current, and outlined clear approaches to positive behavioural support and least restrictive practice. Staff received specialist training relevant to people’s needs, including learning disability and autism.

Staff received training in positive behaviour support. They described how care plans guided them in using effective strategies and understanding the reasons behind people’s behaviours. This approach helped staff create positive environments understand what may cause behaviour that may challenge which minimised the use of restrictive practice.

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.

Records showed clear evidence of joint working, including shared assessments, multidisciplinary reviews, behaviour support planning and medication reviews. The provider made sure the roles of external organisations involved in people’s support were clearly defined and recorded within people’s care records. This helped people receive timely and appropriate input from professionals. This included joint work with health professionals and commissioners to review support needs and plan transitions. We received positive feedback from healthcare professionals about the working relationship they had with the service.

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’s health needs were documented in their care plans, including how medical conditions affected their day-to-day life and the actions staff needed to take to promote good health. Where people had complex healthcare needs, the roles of staff and external professionals were clearly defined.Staff supported people to maintain their health and wellbeing by working closely with a range of healthcare professionals. Staff demonstrated good knowledge of each person’s health conditions.

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.

People and relatives told us the support they received promoted positive outcomes for their health and wellbeing. They told us that their family members had been supported to build skills and live independent lives. One relative commented, “They are so skilled. If I talk about the support workers I get emotional because I've never found a service that can support him and keep him safe. I feel so lucky to have them in his life.”

People’s support plans set out clear outcomes, including reducing behaviours, improving emotional regulation, maintaining physical health, and increasing independence.Care and support plans were effectively monitored and reviewed in collaboration with external professionals where appropriate. This helped to ensure positive outcomes for people.

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

The provider had effective systems to obtain and record people’s consent to their support. People received copies of their support plans in accessible formats, enabling them to review and confirm their consent where appropriate. Where people needed support to aid their understanding, family members, or appointed professionals were available to help people.

Staff demonstrated a good understanding of the Mental Capacity Act (MCA) 2005 and told us they received training in this subject. Training records we reviewed confirmed this. Records showed that where people lacked the capacity to make decisions about their care, processes were in place to ensure agreed decisions were in people’s best interests.