Voyage (DCA) Doncaster

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 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 newly registered 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 79 (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. People's needs were assessed appropriately and their care plans were detailed and person-centred. People were involved in reviews about their care and support needs. We saw evidence of discussions between people and their support team about how their support could be provided in a way which maintained their safety but did not exacerbate their emotions and feelings. A family member told us, “I had input into [person’s] care plan when they first moved in. I am kept up to date if things need changing. Staff know what [person] likes as we all had a meeting before they moved in. They soon got to know what [person] doesn’t like.”

The provider always 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. They worked to develop evidence-based good practice and standards. People were involved in planning and reviewing their care plans and support packages. Where people had developed their inter-personal skills, we saw evidence there had been an increase in positive outcomes. These positive outcomes were recognised by people, their support team and the housing provider. The provider monitored and reviewed changes to people’s planned support and was able to show positive outcomes for people and a reduction in planned support hours. Changes in planned support hours and spending more time alone were the goals and aspirations of a number of people and the provider supported people to work towards their goals and achieve them. People’s goals and aspirations were the primary driver in changes to people’s planned support and changes to care plans were discussed and reviewed with people to ensure they were fully informed and involved. A family member told us, “[Person] has lived in their home for 3 to 4 years. They were in a secure unit. They were on 2:1 [staff support] now it is 1:1 when out in the community. I can visit then whenever I want. They are only 25 minutes away from me. Not miles away. I can get a bus to visit them. This place is a lot better. I see [person] is happy.”

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. There was good communication between members of staff in people support teams which ensured consistency of care and support. There were regular handover and team meetings where key updates about people was shared and discussed. The management team and people’s key workers engaged in regular review meetings with local health and care professionals involved in people’s care and support.

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. We saw evidence of discussions with people about their wishes to reduce their staff support hours. The discussions and decisions were based on people’s views and ideas along with evidence from support reviews and careful risk management. People made choices about engaging in physical activities and walks in the local community. People accessed health professionals which ensured their health and well-being was supported and maintained.

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured outcomes were positive and consistent, and met both clinical expectations and the expectations of people themselves. There were systems in place which monitored and reviewed outcomes for people. Analysis of incidents identified learning about triggers which heightened people’s emotions and feelings. The provider was able to evidence how people had settled into regular, stable routines where they were in control and made choices about their daily lives.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. The service was working within the principles of the MCA and appropriate legal authorisations were in place, through the Court of Protection. People were involved in discussions about changes to their care plans and support needs. People were involved in discussions about consent and the provider ensured the appropriate safeguards were in place to keep people safe.