Vesey Road

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 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.

Pre-assessments for people made sure the provider could meet their needs before people were admitted to the service. Daily handovers took place ensured information was shared promptly including information about changes in people’s health and wellbeing.

A person told us, “They know me so well. They make sure when I decide on different types of food such as vegetarian, they follow up on things so thoroughly.”

People’s families had been involved in care plan reviews. A relative told us, “The staff understand [person’s name] needs so well. The staff are always looking for positive things to support them with. We are fully involved in their care, and we receive regular updates.”

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.

Systems were in place to ensure staff were up to date with evidence-based guidance and legislation. Care records demonstrated care was provided in line with current guidance. The provider used ‘Right support, right care, right culture’ guidance to make sure people were provided with the correct level of care and support.

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 had access to the information they needed to appropriately assess, plan, and deliver people’s care, treatment, and support. Partner services were well informed of people’s needs and support mechanisms. One Health professional told us, “The registered manager makes sure that any updates on health issues are immediately passed on”. A family member told us, “The registered manager goes over and beyond, sometimes they even go to pick up a prescription if pharmacy can’t deliver”.

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 cooked healthy meals based on people’s individual health needs and choices. The registered manager told us that they ensured people had freshly prepared meals with adequate nutritional value so that people could stay healthy.

People told us that they went out for walks and exercise with staff and that they felt well within themselves. Families told us that they noticed that people maintained weight well. Records indicate that there had been no incidents of people suffering with hydration or nutritional deficiencies.

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured outcomes were positive and consistent, and they met both clinical expectations and the expectations of people themselves.

Reviews were timely and included updates when people’s needs changed or if an incident occurred. The registered manager completed detailed reviews which included all aspects of a person’s needs including how they could move on to more independent accommodation. We saw that 1 person wished to move on and that the registered manager had detailed discussions with them. The registered manager explained how detailed risk reviews would take place including options to become more independent such as cooking and cleaning in order to prepare for living in the community.

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 Mental Capacity Act [MCA]. Staff understood people’s capacity to make decisions about their care and support.

People confirmed this, saying “I make my own choices, staff always knock on the door and always ask me if I want something done like washing.” Staff understood and applied legislation relating to consent. Capacity and consent were clearly recorded in care plans.

Where people’s capacity to make certain decisions fluctuated, we saw assessments were specific to those questions. Best interest decisions were made with family and external professionals.