Creative Support - Cecil Gardens

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

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. Assessments of people’s needs were completed and reviewed to ensure these remained up to date. People’s strengths were also considered so staff could support people’s abilities and promote independence. Information was available about how people communicated which helped staff to deliver effective support.

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. Information was recorded about people’s dietary preferences and needs, and people chose the food they wanted to eat. The provider developed a handbook containing basic recipes and useful cooking tips to support and develop staff knowledge about meal preparation. People fed back that staff may benefit from further training in this area. Monitoring of fluid intake had not always been completed where this support was needed. The provider took action to address this after 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. Regular team meetings were held to share information about the people staff supported. This ensured staff were up to date with any changes in a person’s needs, referrals made or upcoming appointments. This supported joined up care for people. Professionals confirmed there was partnership working and the service shared information transparently. The provider had arranged further training and events to promote cohesion within the staff team and the people living at the service.

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 who used the service confirmed staff supported them to access health services. For example, ringing for doctors and arranging appointments. Staff members completed well-being checks which included whether a person’s health needs had changed. There were prompts related to referrals or documentation required. This helped to ensure any changes in people’s needs were addressed. One person commented, “The staff are getting more on the ball.”

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured outcomes were positive and consistent and had met the expectations of people themselves. The provider had introduced a key worker system and well-being checks. This helped to improve continuity for people, built relationships with staff and identified what people wanted to achieve. The provider gave several examples of positive outcomes from these, which included people who were maintaining their own hygiene and living spaces, and others who were re-engaging with activities they enjoyed.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. People confirmed staff sought their consent before providing their care and checked they were happy with what they were doing. Records of consent were in place which covered a variety of aspects of people’s care.