Archived: Creative Support – Carlisle Services

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 inspection we rated this key question good. At this assessment the rating has remained as 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. Assessments were undertaken before people arrived at the service to ensure all needs could be met. Care planning was detailed and person-centred. Records were updated when people’s needs or preferences changed. Staff demonstrated a good understanding of people’s assessed needs and spoke positively of the communication methods within the service and the on-site staff team.
 

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 records were person-centred and detailed. Family and health and social care professionals shared information that aided in the development of the plans when people were unable to share information themselves. Records showed people were being cared for in line with their assessed needs and acknowledged what was important to them. A relative told us, “[Name of relative] had a care plan written upon admission, staff seem to be flexible and will increase her visits if I am away.”
 

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.

While staff felt that due to time constraints some written communication lacked detail, we found care plans and risk assessments were in place for staff to follow. These were in date and regularly reviewed.

Handovers took place between the staff team ensuring people’s needs were met. The local staff team worked well together to give people positive, effective care. One member of staff said, “It is a good team. I like it here; we communicate well and work well as a team.” Professionals told us, “The care team do have a good working relationship; they support each other to provide the best care”, “they often come together at times where challenges arise and during emergency situations.”

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. Care planning records clearly documented how provision had been made for people who were prescribed medicines to manage conditions such as diabetes. Staff supported individuals to make healthier dietary decisions and encouraged lifestyle choices that promoted wellbeing.

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. Staff regularly reviewed and updated care records. Individual care plans were person centred and documented clearly, which enabled staff to provide the right care to people. Staff supported people to achieve positive outcomes. People were encouraged and supported to work towards their personal ambitions, try new activities, and develop new abilities.
 

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. People were supported to have maximum choice and control over their lives. Staff supported them in the least restrictive way possible and in their best interests. Staff demonstrated a clear understanding of the principles of the Mental Capacity Act 2005 (MCA). The MCA provides a legal framework for making specific decisions on behalf of people who may lack the mental capacity to do so for themselves. Staff had received training regarding the MCA and policies were in line with the principles of the MCA. People confirmed staff asked for consent before carrying out care tasks.