Adult Pathways 1

On this page

• Overview
• Person-centred Care
• Care provision, Integration and continuity
• Providing Information
• Listening to and involving people
• Equity in access
• Equity in experiences and outcomes
• Planning for the future

Responsive – this means we looked for evidence the provider met people’s needs.At our last assessment we rated this key question good. At this assessment the rating has remained Good. This meant people’s needs were met through good organisation and delivery.

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 were at the centre of their care and treatment choices and they decided, in partnership with people, how to respond to any relevant changes in people’s needs. Family members confirmed they were involved in important decisions about people’s care, and their opinions were sought and valued. One family member said, “I am consulted for everything and given information and they are always looking for ways to improve his life.” Another family member told us, “The staff are incredibly compassionate and always keep us informed about anything we might need to know regarding [Name’s] needs and medical updates.”

Staff were familiar with peoples preferred care routes and how they linked to spend their time at home. One family member said, “Name has his music on in his room which he likes.”

The provider understood the diverse health and care needs of people and their local communities, so care was joined-up, flexible and supported choice and continuity.

People had access to a range of health and social care providers when needed as well as access to advocacy services. Advocacy services were utilised when needed to support people to understand and make decisions about their care.

People accessed healthcare providers from within the service as well as primary healthcare professions and specialists. One family member spoke positively of this inhouse specialist support and said, “Having access to all services to meet [Name’s] needs in one place means the ‘wrap around’ care she receives is personalised which allows continuity of care for her. We have witnessed a massive improvement in [Name’s] health and wellbeing.”

The provider supplied appropriate, accurate and up-to-date information in formats that were tailored to individual needs. People received clear, accessible information that supported them to understand their care, support and rights. Staff used a range of communication methods, including PECS, visual prompts and objects of reference to ensure information was meaningful to each person. This included information from the provider about any changes which were being made. For example, environment improvements being made to the campus. The on-site radio station, operated by people was used effectively to communicate information verbally to people.

We observed staff communicating with people using Makaton. Makaton is a communication programme that uses symbols (pictures), signs (gestures) and speech to enable people to communicate.

The provider made it easy for people to share feedback and ideas, or raise complaints about their care, treatment and support. Staff involved people in decisions about their care and told them what had changed as a result. The provider had a complaints procedure in place, and this was accessible to people. People and their family members knew how to raise a complaint and felt confident the registered manager would take action to resolve any issues. Records were maintained of feedback received and actions taken.

The provider made sure people could access the care, support and treatment they needed when they needed it. Health professionals who regularly had contact with the provider confirmed people received care when they needed it. Records were maintained when people accessed support from other services. Important contact details were contained within care plans.

Staff and leaders actively listened to information about people who were most likely to experience inequality in experience or outcomes and tailored their care, support and treatment in response to this. People who lived in Adult Pathways 1 always had access to adequate staffing, so received care and support when they needed it. Staff encouraged people to engage at their own pace in activities which encouraged participation and reduced the risk of experiencing social isolation. This included a varied programme of activity which people could engage with on-site. For example, the provider had been arranging a festival, and we observed a talent show led by people who received support. People who attended were encouraged to fully participate and enjoy themselves.

People were supported to plan for important life changes, so they could have enough time to make informed decisions about their future, including at the end of their life. Staff told us they had received training and support to assist a person at the end of their life.

Family members confirmed they were involved in important planning decisions when appropriate.