Partnership Care & Support

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 newly registered 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.

People’s needs were assessed prior to providing care and support. These were reviewed shortly after their service started. People and their relatives participated in assessments to ensure they were comprehensive and the care plans that followed were person centred.

Where required health and social care professionals participated in assessments. This was to ensure that specific needs and risks were assessed by specialists. Care plans reflected the findings and guidelines developed by health and social care professionals. When people’s needs changed, the registered manager ensured that reassessments were carried out.

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.

The provider followed research-informed guidance when delivering care and support. When required, the provider worked with healthcare specialists to assess people’s needs and risks. For example, where people presented with behavioural support needs, referrals were made to specialists who developed positive behaviour support plans. These person-centred plans focused on empowering people with skills towards independence, communication support and shaping the environment to meet people’s needs.

Staff followed the guidance developed by healthcare specialists when providing care and support. This included accurately recording incidents and events of note. This information was reviewed by the registered manager and healthcare specialists to identify patterns and trends and the impact of behavioural support approaches. As a result, the techniques used to support people’s behaviour continually evolved. One relative told us, “There is an on-going process of learning, and an evolution of the best practises.” This meant people’s care and support was evidence-based.

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 provider organised teams of staff around individual people receiving care and support. Each team had a leader who coordinated partnership working with services. For example, when referrals were made to healthcare professionals, leaders ensured that appointments were attended, records of them kept, and agreed actions carried out. Staff teams met weekly to discuss people’s changing needs and input from other services.

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.

Staff promoted people’s health and well-being. When required, staff made referrals to healthcare professionals, for example, physiotherapists and psychologists. Staff supported people to engage with healthcare professionals and followed their guidelines when delivering care and support.

People were encouraged to eat healthily. This included eating fresh fruit and vegetables and regularly hydrating. When the need occurred, people were supported around weight management. This involved assessment by, and planning with, nutritionists. People were supported to exercise if they wanted to. This included swimming, exercise biking, weightlifting and walking.

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.

Goals for people’s care and support were agreed with people and relatives. These were regularly reviewed. The quality of care and support people received was routinely checked by the registered manager and the provider’s quality lead. Where improvements were identified action plans were developed and implemented. The outcomes from these plans were, in turn, monitored. This meant that the provider effectively monitored and improved outcomes for people.

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

People consented to the care and support they received. The service supported people with mental capacity assessments. Where people lacked the capacity to make decisions they were supported with best interests’ meetings. Where it was necessary to deprive people of their liberty in order to keep them safe, deprivation of liberty safeguards were in place. These stated the nature and duration of the lawful restrictions. This meant people were supported in line with the Mental Capacity Act 2025.