Archived: Mellieha

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 requires improvement. At this assessment the rating has changed to 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.

People’s needs were assessed and developed into a support plan; people also had a behavioural support plan if required, completed with support from the internal positive behaviour support team. The positive behaviour support plans were detailed and person centred and enabled people to receive appropriate care and support that was responsive to their needs. 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, relatives, and when appropriate, advocates and professionals were involved in reviewing assessments. People had communication passports, and we saw people were supported to provide feedback. The communication methods used encouraged people to express views, and these were reviewed and acted upon as necessary.

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. The service facilitated visits between people and family members including visits in community, overnight stays, dropping off and collecting people allowing people to maintain important relationships. The service and staff supported people to go on holiday.

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 service included detailed person centred information within support plans and assessments, including preferences, goals and what life they would like to live.

The service supported people to manage their health and wellbeing to maximise their independence, choice and control. The service supported people to live healthier lives and where possible, reduce their future needs for care and support. When people presented with behaviours that challenge these were recorded and reviewed. Analysis of accidents and incidents were completed. Where potential triggers had been identified we observed evidence of changes made and referrals to outside partners to assist reduction in further incidents. We observed people with complex needs and anxieties around attending health appointments receiving positive encouragement and engagement with staff.

The service 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. During our assessment we were shown a journey of improvement for a person with a medical condition. The journey included ongoing involvement from health care professionals and assessments to monitor and improve. We observed a detailed pictorial journey of improvement in presentation leading to a positive outcome. People actively encouraged and positively engaged in improving outside garden space. It was observed and shared by people they take pleasure and pride in their involvement.

The registered manager and staff understood their responsibilities in relation to the Mental Capacity Act 2005 and the Deprivation of Liberty Safeguards. People received person-centred care that promoted their dignity, privacy and human rights. Staff recognised individual’s communication needs, and all people had communication passports to ensure people knew about their rights and how people may refuse or give consent to specific decisions.