Mainwaring Terrace

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.
 

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.

People’s care plans were detailed and person-centred. They covered health, wellbeing, communication needs and personal goals, with clear guidance for staff on how to support each person. Assessments included physical and mental health needs, sensory needs and individual preferences, so staff had the information they needed to provide safe and consistent care.

The provider reviewed and updated assessments when people’s needs changed. For example, records showed plans were reviewed after significant events such as a fall, with updates to risks and the support people needed. Staff described how they used this information to adapt support and offer activities that matched people’s interests and abilities.

The provider completed compatibility assessments for new admissions to check they could meet people’s needs and keep them safe. The service also used accessible formats to support involvement, including easy-read information, and recorded advocacy involvement where required. These arrangements helped people to be involved as much as possible and supported staff to understand people’s needs and provide care in line with what mattered to them.
 

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.

Care reflected current guidance and professional advice. Staff told us they used input from external professionals, including GPs, occupational therapists and speech and language therapists, to shape people’s care plans and day-to-day support. This helped staff provide care that was tailored to each person’s needs, risks and communication preferences.

The provider reviewed medicines regularly with pharmacist oversight and applied STOMP (Stopping Over Medication of People with a learning disability, autism or both) principles to reduce the risk of over-medication. Staff also maintained hospital passports so key information could be shared when needed and care remained consistent if people moved between services. Where clinical input or treatment was required, staff were clear about roles and responsibilities. They described clear boundaries for delegated tasks, and qualified professionals carried out clinical tasks when needed.
 

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 well together within the home and with external professionals to meet people’s needs. Staff described clear routes for sharing information, including handovers, daily records and professional logs. They said this helped them give consistent support and respond quickly when people’s needs changed.

The service worked with health professionals, including GPs, pharmacy teams and therapists, to coordinate care and follow up actions. Staff used accessible tools to share key information, which helped reduce repetition for people and families. Families told us staff kept them informed and they felt confident that care was consistent.
 

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 were supported to maintain healthy routines and make choices that helped them stay well. Families described positive approaches to diet and exercise. One family member said, “He eats healthy, good appetite. Help him choose healthy foods.” Another said, “He has a low sugar diet. He will walk more than 10,000 steps. He is quite conscious of being healthy.” Staff explained how they encouraged healthier choices in ways that matched people’s preferences and abilities.

Staff supported people to build independence through everyday activities, including cooking and cleaning, and to stay active through community activities such as hydrotherapy, bowling and outdoor walks. The service maintained vaccination records, and staff described weekly GP calls to monitor health needs and respond to changes. Activities were planned flexibly, and staff reviewed compatibility to make sure people could take part in ways that suited their individual preferences.
 

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.

The provider monitored risks and outcomes using a structured risk register and organisational dashboards. Staff recorded key information in communication books and described outcome-focused goals, such as supporting a person to choose their own breakfast. Families also told us the provider made improvements that enhanced people’s quality of life, including securing additional one-to-one support.

Managers reviewed themes and trends centrally and shared learning across services. This helped the provider identify areas for improvement and maintain consistent standards of care. The provider focused on outcomes that matter to people, supporting independence and choice, and using learning to improve quality of life.
 

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

Staff supported people to make choices wherever possible and sought consent before providing care and treatment. Staff explained how they used communication approaches that helped people understand decisions and take part in discussions about their care.

Where people could not make specific decisions, the provider followed the Mental Capacity Act. Records showed decision-specific mental capacity assessments and best interests decisions. Where needed, the provider involved people who were important to the person and recorded advocacy involvement. This helped make sure decisions were made lawfully and reflected people’s rights, wishes and wellbeing.

Deprivation of Liberty Safeguards (DoLS) authorisations were current and monitored, and staff understood how consent and lawful restrictions linked to day-to-day care. Families told us they were involved in decisions, and they described open communication about care planning and any restrictions.