Raven Support Limited

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 83 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The service made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them.

People had their needs assessed before they started using the service and assessments were reviewed when needs changed. Care plans were detailed, outcome‑focused and reflected people’s physical health, mental health, communication, emotional and social needs.

Relatives and professionals confirmed assessments were thorough and reflective of people’s needs. One professional described how joint working helped build trust and supported positive transitions, resulting in improved stability and independence for people using the service.

The service 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.

Care plans reflected trauma‑informed and person‑centred approaches, particularly for people with complex mental health needs. Staff described using least‑restrictive practices and positive risk‑taking to support people to remain independent and safe. People and relatives told us care was effective. Staff received training relevant to their roles, including training in mental health. The registered manager was planning on arranging further face to face training for staff, which staff felt they would benefit from. Health professionals told us staff used calm and measured approaches, which reduced escalation and helped avoid hospital admissions.

The provider worked exceptionally well with people, relatives, staff and external professionals to deliver coordinated care and achieve positive outcomes. The service worked exceptionally well with health and social care professionals, including mental health teams, occupational therapists and social workers. They told us communication was timely and effective, enabling coordinated decision‑making and continuity of care. Professionals consistently described the service as responsive, collaborative and flexible. One professional told us the service was, “Worth their weight in gold”, while another explained that partnership working had enabled other services to safely step back as people became more independent. People and relatives confirmed staff worked well with others involved in their care and kept them informed. Feedback consistently highlighted strong leadership, advocacy and joint working that led to sustained positive outcomes.

The service supported people to manage their health and wellbeing to maximise their independence, choice and control. The service supported people to live healthier lives and where possible, reduce their future needs for care and support.

The service supported people to live healthier lives by helping them to access healthcare and make positive lifestyle choices. Staff supported people to attend GP, hospital and community appointments and to manage long‑term health conditions. People told us staff encouraged healthier routines and community participation. One person told us, “They help me with all of my appointments, they ask for 2 weeks’ notice for the rota, they take me to hospital and the doctors, I’m 100% happy with that.”

Care plans included guidance on nutrition, hydration and emotional wellbeing, and staff respected people’s choices, including when people chose not to follow advice. Relatives and professionals confirmed people were supported to maintain their health and wellbeing, with improvements in mental health stability and independence.

The service monitored all people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they fully met both clinical expectations and the expectations of people themselves.

The provider consistently monitored and improved outcomes for people and achieved exceptional results. Outcomes were reviewed through regular care reviews, incident monitoring and feedback from people, relatives and professionals. People experienced significant improvements, including reduced incidents, increased independence and improved emotional wellbeing. One person told us, “I have not [had an incident] for nearly 2 years, which is the longest period in my life.” The person told us this was because of the support they received from Raven Support Limited.

Professionals confirmed improvements were sustained, including people experiencing reduced hospital admissions and increased self‑management. One professional told us, “There is evidence of ongoing review and adjustment of care in response to [name of person’s] changing needs. The flexible and responsive approach suggests that outcomes are being considered and adapted in practice, particularly in relation to engagement and risk reduction.”

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

The service made sure people consented to their care and treatment and followed the principles of the Mental Capacity Act 2005 (MCA). People told us staff asked for their consent before providing care. One person told us, “They ask my consent for everything.” Care records showed capacity assessments were completed, and best‑interest decisions were made where people lacked capacity. One person’s capacity assessments had not been recently reviewed. The registered manager told us they had reviewed these with the person 3 months ago, and they needed to update the capacity assessment. Staff demonstrated a clear understanding of the MCA and supported people to make their own decisions wherever possible.