Trewithen

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 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.

The provider had systems to assess and identify people’s needs before they moved in. People were encouraged to visit the service, and staff normally visited the person at home as part of any transition process. Information gathered during the transition was combined with any information shared by care commissioners to form the basis of people’s initial care plan.
The manager recognised there were risks that anyone new moving into the service may upset the dynamics of the people already living there. As a result, they intended to ensure people’s needs and preferences were fully understood before any new placement was agreed.

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.

People’s care plans included clear guidance for staff on how to meet people’s needs and staff used the described techniques successfully to support people during both days of the assessment.
 

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 shared information and concerns promptly with professionals and acted on any advice given. Professionals were complimentary of the service’s collaborative approach to ensure people’s needs were met. Their comments included, “I witnessed how [the regional manager] and the team sought advice and information from health professionals to provide the best informed care”.

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 accessed the kitchen independently, were involved in menu planning and participated in shopping and meal preparation. Healthy menu options were encouraged and relatives said, “[My relative] makes drinks and can have snacks when they want them”.
People were supported to engage with regular exercise and records showed people accessed the local community daily. The service had a large garden with shaded outdoor seating that people could access independently.

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 manager used the providers auditing and monitoring systems to ensure support was provided as planned. Care records had been regularly reviewed to ensure they accurately reflected the support staff had provided. The provider was able to use Artificial Intelligence to review these records to identify patterns or investigate possible areas of concern.

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

Staff offered assistance and sought people’s consent before providing support. Relatives said staff respected people’s choice and supported their decision making. Relatives’ comments included, “[My relative] is instrumental in choosing things for [themselves]”. Staff used tools and aids effectively to support people to plan their time and make decisions about proposed activities.