Harvey Lane

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 requires improvement. At this assessment the rating has changed to 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.

Support plans were in place for people and had been regularly reviewed and updated in response to peoples changing needs and presentation.

We found some minor discrepancies in care records. Whilst these discrepancies did not impact the care people were receiving, further work was required to ensure care records are consistently accurate. The manager was receptive to our feedback and agreed to review peoples care records to ensure their accuracy.

Key worker meetings were held regularly and gave people and their key staff the opportunity to review their care together and make any changes. One staff member told us how they involve people in the review of their care records by asking them what they think. This helped ensure records reflected people's wishes, preferences, and experiences of care.

Information relating to peoples care needs were shared with the staff team during daily handover meetings, called ‘huddles’.

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.

Clinical tools to monitor people’s weight, digestive health and behavioural observations were used appropriately where necessary. Staff demonstrated a good level of knowledge of using these tools and understood the importance of them. Care plans were developed in line with best practice guidance around supporting people with behaviours which can challenge. The service was working within the principles of the ‘Right support, right care, right culture’ guidance.

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.

The service had systems and processes in place to ensure information was shared accurately between service. For example, the service had regular visits from a learning disabilities specialist nurse, who had grown to know people and their needs well. When they undertook reviews or gave advice, this information was reflected within peoples care records in a timely way.

The registered manager worked closely with the providers Positive Behaviour Support (PBS) Lead, who developed bespoke awareness sessions for staff on how best to response to people’s individual needs based on incidents or behaviours the staff team had observed. This helped staff better understand people’s individual needs and respond in a consistent and person-centred way.

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 lived full lives and were engaged with hobbies and interests. The registered manager told us, and we saw, that people were encouraged to eat healthily and stay as active as they were able to. For example, two people living at the service were taking weekly swimming lessons. The service hosted themed nights each week for dinner, where cuisines from around the world were cooked to encourage people to eat varied diets. This helped promote people's physical wellbeing, supported social engagement, and enabled people to make meaningful choices about how they spent their time.

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.

We spoke with the registered manager about how outcomes for people are monitored. They shared with us several examples of how they had supported people to develop skills and confidence in different areas of their lives. For example, the service had worked with professionals to support one person to safely access communal areas of the home and the community, following several years of this proving too distressing for them. Staff we spoke to were able to easily describe the positive impact this had for the person, including a significant reduction in incidents and an increase in positive social interaction. Our observations and review of written documentation supported that outcomes for people were monitored effectively.

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

We observed people to be given choices, and these choices were respected. Where people were unable to make certain decisions, legal frameworks and support from advocates and representatives were in place. The staff and registered manager demonstrated a good understanding of the Mental Capacity Act and consent. Records supported that processes had been followed and reviewed appropriately where needed. This helped ensure people's rights were protected and decisions were made in their best interests when required.