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. 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 71 (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 care 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. One relative praised staff for how they communicated with one person. They told us, “Staff treat [person] as an individual and very obviously listen to [person], know what they like and dislike and communicate with them in a way that demonstrates how well they know and understand [person].”

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 healthcare professionals felt accessibility to and communication with the registered manager or any management was an issue; 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.

A healthcare professional told us, “There were no concerns regarding the care and support staff provided.” Staff worked well together to give people positive, effective care. One staff member said, “We just get on with things here. We work together; we have to do our best for these people.”

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 provision had been made when people were on medicine to control, for example, diabetes, with staff having supported people to make healthier dietary decisions.

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.