Quadrant Court

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 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 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 involved the person using the service fully in assessing their needs, providing support where required to maximise their participation. Staff completed an initial assessment before admission and took their time to get to know and understand routines, preferences, and mental capacity. Care plans and risk assessments were regularly reviewed.

Staff used a range of practical assessment methods, including structured care plan reviews, risk assessments, capacity assessments, self-administration of medicines assessments, daily observations, and feedback from professionals and people. Staff considered the persons mental and physical health, communication, wellbeing, and daily functioning to ensure care reflected the person’s needs.

Professionals and the person using the service told us they were confident people’s needs were understood and met. One professional said, “The service takes the time to understand people’s routines and needs, and they adapt assessments to match people’s daily functioning and mental health fluctuations, which makes all the difference.”

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 ensured that care, treatment, and support were based on current good practice and evidence. For example, staff followed guidance from GPs and mental health professionals when supporting a person and completed condition-specific training to improve their knowledge and approach.

Care plans reflected up-to-date guidance. Staff supported people by providing guidance on nutrition and hydration.

Staff kept up to date with national legislation, best practice, and professional guidance. For example, the registered manager liaised with GPs and social workers to ensure care was consistent with current evidence and tailored to the service user’s needs.

One professional said, “The service follows guidance closely and adapts it to fit people’s needs. Staff use what works in practice to help people manage daily life and mental health, which really makes a difference.”

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.

Staff worked collaboratively with external professionals to ensure care, treatment, and support were well coordinated. Information was shared promptly when needs changed, enabling timely referrals and consistent decision-making. This joined-up approach helped ensure the person received safe, effective support without unnecessary duplication or delays.

Care plans were shared and updated to maintain continuity. One professional said, “The registered manager communicates clearly with everyone involved and makes sure that the person’s needs are understood and met across all services.”

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.

Staff supported the person to manage their own health, care, and wellbeing, taking their needs and preferences into account. They encouraged the person using the service to make healthy choices, including guidance on nutrition, hydration, and daily routines. Staff supported physical activity by walking with them to the gym, encouraging walks and promoting steps that increased their confidence and independence.

Staff supported the person with attending health appointments, for example with the GP, dentist, and mental health services, often accompanying them and providing reminders, ensuring their health needs were addressed and any changes were noticed early. Staff observed the person’s daily wellbeing, including hygiene, diet, and activity, and acted promptly if they noticed changes.

Staff also encouraged creative activities of person’s choice such as knitting, bracelet making, and cooking, which supported their mental health, engagement, and overall wellbeing.

One professional said, “Staff support them [the person] in a way that helps them manage daily life and their health, and they [staff] notice even small changes so they can act quickly if needed.”

The person using the service explained that the support they received was essential in preventing significant deterioration in their mental wellbeing.

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.

Staff monitored the person’s care and support to make sure it achieved positive outcomes. They reviewed care plans and risk assessments regularly and updated them when the person’s needs or circumstances changed. Staff tracked the person’s progress through observations, daily notes, and feedback from the person and other professionals.

Staff supported the person with setting goals to improve their wellbeing and independence. For example, if the person needed support to shower more regularly, staff adjusted care plans and provided prompts and encouragement, gradually increasing their ability to manage this independently.

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

Staff supported the person to understand their rights around care and treatment and took their views and wishes into account when planning support. Staff explained information about care and treatment was in a way the person could understand, giving them time and support to make informed decisions.

Staff assessed the person’s capacity in accordance with the Mental Capacity Act 2005. Where appropriate, they consulted carers, family, or advocates to make sure decisions were made in the person’s best interest. Staff obtained consent before any care or treatment was provided and regularly reviewed care plans to make sure the person remained involved in decision-making.

One professional said, “Staff always involve them in decisions about their care and explain things clearly, so know what is happening and why.”