Aspire Hub 1

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.

We have not awarded this service a score for Effective.

Find out about when we will not publish a key question score and what we look at when we assess Effective.

The provider did not always make sure people’s care and treatment was effective by assessing and reviewing their health, care and wellbeing needs with them. We found some people had not always been asked to sign their care plans or risk assessments. Some risk assessments had not been reviewed on a regular basis and assessments had not always been signed by staff to show who completed them.

People’s individual communication needs had been assessed and planned for. We observed staff communicating effectively with people using their preferred communication methods.

There was an assessment process completed prior to people moving into the service. One staff member said, “When there is a new admission, they come with an assessment from the social workers, we use the support plan they have from the previous care provider or from the family, if the person can’t talk family, friends, social workers and any other stakeholders provide us with their information.”

We did not look at Delivering evidence-based care and treatment during this assessment. There is no previous rating for the Effective key question so we cannot yet publish a score for this area.

We did not look at How staff, teams and services work together during this assessment. There is no previous rating for the Effective key question so we cannot yet publish a score for this area.

We did not look at Supporting people to live healthier lives during this assessment. There is no previous rating for the Effective key question so we cannot yet publish a score for this area.

We did not look at Monitoring and improving outcomes during this assessment. There is no previous rating for the Effective key question so we cannot yet publish a score for this area.

Processes were in place to assess people’s capacity and staff ensured they always asked people for their consent. One staff member said, “We assume that people have the capacity to make decision unless proven otherwise. If the person is unable to make decisions, there will be a best interest decision for the person.” People and their relatives told us they were involved in their care and choices were respected. Where people lacked capacity assessments were in place in relation to making decisions in people’s best interests. However, one person had two capacity assessments in 2023 and 2024 both stating they lacked capacity with finances however, their best interest decision was completed in 2021 stating they had capacity to manage their finances which was contradicting and not clear. We discussed this with the provider who agreed to review this.