Eden Support Ltd

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 provider that relates to the provision of supported living. This key question has been rated good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 71 (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 care needs were assessed in relation to the support they required from staff for example with medicines, communication, personal care, eating and drinking and accessing the community. The registered manager told us they assessed people’s needs based on their individual requirements. We saw care plans were regularly updated, and staff had a good knowledge of people’s needs. Staff told us they felt well informed about people’s care needs and were kept updated with any changes.

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 worked proactively with external health and social care professionals to ensure people’s care and treatment was reviewed regularly and reflected current best practice. Robust systems and tools were in place to support evidence‑based practice, and staff demonstrated good awareness of these resources. Staff used guidance appropriately to meet people’s assessed needs and promote positive outcomes.

Care records showed that a variety of evidence‑based assessments were used to monitor people’s needs, including assessments for mobility, skin integrity, eating and drinking, and moving and handling.

The registered manager demonstrated a clear understanding of, and commitment to, the Right Support, Right Care, Right Culture guidance and had embedded this within everyday practice. Staff had completed accredited training in Learning Disabilities and Autism, ensuring care and treatment was evidence‑based and reflected current best practice. Our observations demonstrated care was personalised, outcome‑focused and consistent with the principles of the guidance. People were supported to access their local community, make informed choices about their care and treatment, and were assisted to engage with relevant healthcare professionals when required, promoting positive outcomes and wellbeing.

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.

People were supported by managers and staff who worked well-together and with community-based care professionals and other agencies. Systems were in place to make sure information was shared in a timely manner by everyone involved in people’s care. This helped to ensure a joined up, consistent approach to delivering safe and effective care to people in line with their individually assessed needs and preferences.Detailed communication records were consistently used to share essential, person‑centred information, supporting professionals to deliver safe, effective and coordinated care.

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.

The provider promoted people’s health and wellbeing and supported them to achieve positive outcomes. The registered manager described how healthy eating was encouraged and monitored, with records demonstrating that people were maintaining a healthy weight. In some cases, people had achieved significant improvements in their health and wellbeing, including reaching a healthier weight range following admission to the service.

Staff supported people to access healthcare services and attend routine and specialist appointments when required. The registered manager explained that people were offered regular health reviews and received additional support to access healthcare in ways that met their individual needs.

Staff demonstrated a good understanding of their role in promoting people’s physical, mental and emotional wellbeing. They told us they supported people to maintain a balanced diet and make healthy choices, while respecting their preferences and independence. Clear guidance was available within people’s care records to help staff provide consistent support and enable people to make informed decisions about their health and wellbeing. This helped to ensure people received personalised support to live healthier lives and achieve the best possible outcomes.

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.

People’s health needs were assessed, and plans were in place to monitor these conditions where needed. People had access to health professionals when needed. Care plans were updated when staff identified new needs or when existing strategies were no longer effective. This helped to ensure support remained relevant and reflected the person’s current needs. One staff member told us, “One person was unable to walk independently, but now they can and do some tasks around the house.”

The provider did not always tell people about their rights around consent and did not always respect their rights when delivering care and treatment. The provider had completed mental capacity assessments for people using the service. However, we found these had been completed based on the provider's own knowledge of individuals, without evidence that the person had been consulted or that relevant relatives or professionals had been involved where appropriate. This meant assessments were not always completed in line with best practice.

Despite this, staff sought people's consent before providing day-to-day care and support. During our visit, we observed staff seeking permission before entering a person's home and before commencing care.

The provider was receptive to this feedback and acknowledged the need to strengthen their approach to mental capacity assessments. We will review progress in this area at the next inspection to ensure assessments are completed appropriately and involve the relevant people.