Peterborough

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,treatmentand support achieved good outcomes and promoteda good qualityof life, based on best available evidence.

This is the first assessment for this service. This key question has been ratedgood.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,wellbeingand communication needs with them.

People and those involved in their care took part in assessments and reviews of their needs. Records showed their views and opinions were respected, listenedtoand implemented as part of the day-to-day support.

Care plansincluded a person’ssocial history,theirlikesand dislikes, whatwas important tothem, details of supportrequiredandtheir preference in howitwasto be delivered.

Professionals told us that as soon as a referral had been made to the service, the registered manager ensured that an assessment of need occurredimmediately. One professional told us, “I am impressed at how resilient[registered manager]has been andhasconstantly gone back to find solutions to ensure this particular patients' needs are met”. A relative also told us, “We were all fully involved in theinitialassessment for[person], me, mysisterand my[relative]. They knew whatherneeds were and understood howshewanted these to be met.”

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.

Staff worked in line with current guidance and used information from assessments to deliver effective and personalised care.Staff encouraged healthy eating whilst respecting people’s choices.

Staffconfirmedhow learning from incidents, training and supervision improved the delivery of care.

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.

The staff team at Peterborough worked well together. Staff were positive about the ways they worked and the support they received from the nominated individual,the 2 registered managers, and senior staff. Regular team meetings were held for the staff and they felt these were effective.

Staff collaborated effectively with each other,families and external professionals where appropriate to support people’s needs. A professional told us, “Staff kept me updated,managed risk well and respected the individual's wishes and views and would strongly advocate for them to family and other professionals.”

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 plans showed that staff encouraged people to make healthier life style choices, including meal planning. People were encouraged to participate in meaningful activities and make choices that promoted healthier lifestyles.

The provider routinelymonitoredpeople’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 were proactive in helping people achieve positive outcomes.

Regular audits of care records, including care notes and medicine administration records checked that care had been delivered as planned and people’s well-beingmonitored. This enabled the registered manager to see specific trends, or areas where the care may need adapting.

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

The provider promoted people’s rights under the Mental Capacity Act 2005 (MCA). Records we reviewed showed capacity was considered on a decision specific basis, and best interest processes were used when required. People were involved in decisions about their care, with families or others consulted where appropriate.

Staff told us they understood the importance of asking for consent from a person and including people in decision making about their own health and support. They completed training in relation to mental capacity and understood how to support people to make choices about their care. A staff member told us,“I involve [him] by offering simple choices, such as what he would like to eat, whether he wants to stay in the lounge or his room, what activity he would prefer, or when he is ready to engage.”

Professionals told us how staff ensured people’s rights and wishes was embedded in daily practice. A professional told us, “Staff would ensure the safety of the individual and work with their fluctuating capacity. They would pre-plan what the individual wanted when they had capacity,to be able to support them in a safe manner with how the individual would respond best with when they lacked capacity.”