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.

This is the first assessment for this 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 service 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 thoroughly and effectively assessed using a person‑centred approach. Comprehensive assessments were completed on admission and regularly reviewed, covering physical health, mental wellbeing, communication, daily living skills, risks, and social needs. A relative said, “Yes, we have a review once a year or if there are any changes they will contact me and discuss it over the phone.”

The service 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.

Staff showed a clear understanding of each person’s needs, followed current best‑practice guidance, and drew on assessment information to provide care that was both effective and personalised. Staff told us they followed professional guidance including advice from GPs, speech and language therapists and district nurses. People and relatives reported care needs were met and staff were knowledgeable.A person said, “The care is very good.”

The service 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 registered manager worked effectively with external services to ensure people received coordinated, seamless care. Staff communicated well with each other and with professionals from health and social care services to support positive outcomes for people. The registered manager said, “We do some close work with community learning disability teams around behaviours and health such as dementia. We also work with care management.”

Staff teams worked collaboratively, sharing knowledge and updates to ensure everyone stayed informed of best practices. The registered manager explained, “We have health matters groups, safeguarding matters groups, a Black, Asian and Minority Ethnic (BAME) group, and health and safety, equality and diversity groups. Each service sends a representative to these meetings, and any new information is recorded in the minutes and shared with staff.”

The service supported people to maintain their health and wellbeing in ways that promoted independence, choice and control. Staff encouraged people to adopt healthier lifestyles and, where possible, helped them reduce their future care and support needs.

Individual assessments and care plans clearly identified people’s physical health, mental health and lifestyle needs, with guidance for staff on how to support healthier choices and manage potential risks.

The provider promoted people’s wellbeing by making sure they could take part in meaningful activities and stay connected with their wider community. Staff encouraged people to maintain a balanced diet and supported them to prepare suitable meals and make healthier choices. A person said, “I am trying to lose weight. I write the shopping list with staff and get some healthy options. I used to eat junk food, but they are helping me to eat healthy. I’m gradually starting to walk to exercise. I want to get back to what I did before and getting out more.”

The service routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent.

Regular reviews of people’s care and support needs enabled people and their relatives to give feedback and make any changes to the support received. This ensured people’s wellbeing and enabled additional support to be offered if needed.

The registered manager and staff team were committed to improving people’s quality of life. This was reflected in the records kept and the positive feedback received from people who used the service and their relatives.

The service told people about their rights around consent and respected these when delivering person-centred care and treatment. People were supported to make informed decisions. Records showed consent was sought, and where people lacked capacity, decisions were made in line with the Mental Capacity Act 2005 (MCA). Staff were trained in MCA and completed assessments for care-related decisions. This included capacity assessments and best interest decision records.