Stride East

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 63 (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 did not always make sure people’s care and treatment were effective because they did not always fully assess, record and review people’s health and care needs.People had care plans that included information about their backgrounds, family histories and preferences. Staff reviewed care plans regularly and told us people could contribute to their reviews over time. However, the quality and completeness of assessments were inconsistent. Assessments were missing for some identified needs, and some care plans did not include important information about people’s routines, mobility or specific health conditions. For example, staff did not have clear guidance for a person who has a history of strokes, about what to look for if they were to experience this again in the future. Although staff knew people well and described how they supported them, the provider’s assessment records did not consistently give staff all the information they needed to ensure effective care. While the provider had already identified improvements were needed with some of the care records, audits in relation to care planning and daily notes failed to highlight all areas raised during the inspection. Feedback was taken on board by staff and work was ongoing to address these concerns.

Staff planned and delivered people’s care and treatment with them, including what was important and mattered to them. The provider understood their responsibility to provide effective care considering legislation and good practice standards, however on some occasions the evidencing of this needed strengthening. For example, there were occasions where staff failed to evidence good practice with record keeping. The standard of daily note records needed to improve to help evidence the care being provided. The deputy manager was new to their role and needed more time to implement new practices and robustly evidence consistency in good practice.

In other areas of care, good practice was evidenced. For example, people were encouraged to be independent in the kitchen and staff supported them to maintain a healthy diet. People’s nutritional needs and preferences were understood and people had choice around what they ate and drank. One person told us the food was, “So good.”

The provider worked well across teams and services to support people. Staff completed electronic and verbal handovers at the start and end of shifts. New staff said they had time to read care plans and information about people’s backgrounds before supporting them. The electronic system highlighted important information for staff to read, including incidents and changes in people’s needs. Staff said they worked well together, one staff member said, “I love all the staff, they are all very supportive and if I’m unsure, they will help me.” Staff also worked with healthcare professionals, taking advice from GP’s, community psychiatric nurses and other professionals when needed.

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 supported people to attend healthcare appointments and contacted professionals when they identified changes in people’s health. Staff promoted independence through daily activities and encouraged people to make positive decisions about their lives. People could prepare breakfast, help with cooking, manage their laundry and access the community. Staff told us how they were proud of how they supported people and focused on helping people to work through difficult times if their lives. A staff member said, “The best thing is seeing how our support in promoting independence and reablement helps people progress.”

The provider routinely monitored people’s care and treatment to continuously improve it; However, records did not always reflect this. Staff told us they monitored people’s day-to-day health and wellbeing and that they could see how people’s mental health had improved. But evidencing this care was inconsistently recorded. Daily notes lacked detail and did not always show that staff delivered the care described in care plans that supported health improvements. For example, daily notes did not evidence staff supporting people with recommended physical exercises. People had goals and aspirations recorded in their care plans, but records did not consistently show how staff helped people to achieve them or whether progress had been reviewed. Due to this, more work was needed to evidence consistently good outcomes for people.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. Consent to care was recorded and care records demonstrated that staff considered consent and people’s capacity when planning and delivering care. Staff recorded people’s decisions and respected their choices, including when people decided when to receive personal care or declined aspects of monitoring. People told us they could come and go as they pleased and make day-to-day decisions about their care and routines.