Salutem Supported Living East

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.

At our last inspection we rated this key question good. At this inspection, the rating has remained 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 were effective because they assessed their needs when they started using the service and reassessed these regularly. When new people started using the service, their needs were thoroughly assessed by the management team to make sure their needs could be met. The staff team worked with people to get to know them and continually updated their care plans and risk assessments. As a result of staff support people had positive experiences when they started using the service. Other people had been using the service for many years. Staff and the management team knew them well, noticing any changes in their support needs and promptly reassessing them. One person said, ‘‘The assessment was really good. [Management team] met with me and took me round the place to make sure I liked it. We chatted about what I needed from the staff team and how I wanted things to happen. It was all sorted out for me and went really smoothly’’ A relative told us, ‘‘Moving from a residential home to supported living was a shock, not for [family member] but for us with all the things that needed sorting out. However, the staff have been fantastic and made sure [family member] had exactly what they needed wo we could focus on getting the other bits sorted 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 staff team spoke knowledgably about their training in area such as supporting people living with a learning disability. The management team understood RSRCRC guidance and supported people in line with this. For example, they ensured people discussed their goals and ambitions, were supported to follow their interests and had regular opportunities to discuss if they were happy with their support at the service. This included how they were getting on with other people they lived with. One person was currently involved in a new treatment exercise to see if there were any ways in which their experiences at the service could be improved. One person said, ‘‘It’s a nice feeling living here. We all meet up for a drink or to go out and about if we want to and everyone is friendly here.’’ A relative told us, ‘‘It’s really nice how staff support [family member] to talk with and understand the other people, they live with. [Family member] is making some lasting friendships.’’

The provider worked well across teams and services to support people. Staff were positive and complimentary about their colleagues and how well they worked together. They shared information with each other on a regular basis and worked well with each other. Staff primarily worked at one supported living setting enabling them to form consistent strong working relationships with each other. Staff worked well with other professionals such as GP’s and nurses and followed their advice when it came to supporting people. Feedback from professionals about the service was positive. One person said, ‘‘The staff all seem happy and make me laugh.’’ A relative told us, ‘‘I think the staff all have each other’s backs, and this shows through in how they all work together.’’

The provider supported people to manage their health and wellbeing to maximise their independence, choice and control. Staff supported people to be healthy in line with their support needs. For example, where necessary they recorded how and what people were eating and drinking to make sure this was in line with their identified support needs. However, in some cases there were areas where these recordings could be improved. The registered manager accepted this feedback and evidence how they would address and start improving this. Staff prompted and supported people to have regular exercise if they chose to do so.

The management and staff team placed emphasis on supporting people to live healthy lives in relation to their mental health and wellbeing. Staff worked closely with people to gently encourage and support them to be independent and increase their confidence in the community. A person told us, ‘‘I buy my own stuff and the staff help me cook it. I like to try and be healthy.’’ A relative said, ‘‘[Staff] have a good understanding of [family member’s] health needs and make sure they eat and drink safely. They are always out and about which is good for them.’’

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and they met the expectations of people and their relatives. Staff knew people well and knew how to support them to achieve their health-related outcomes.

The management team reviewed people’s care records to make sure outcomes were being achieved. For example, one person had been supported to start accessing the community more often when they had historically found this difficult. The management and staff team had worked with the person to help them feel more confident and in control of this resulting in a positive outcome for them. This person happily told us they now did their own shopping and were also planning larger days out to places of interest such as zoos. Staff had supported another person to safely start drinking fluids again having not be able to do this for some time. The person was very happy about this and showed this when staff supported them to have a drink. A relative told us, ‘‘We are very happy with how [family member] is being supported. They are doing things we never thought possible.’’

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. Staff were trained in the MCA and knew the importance of this legislation and making sure people were asked for consent whilst being supported. The management team completed assessments and made decisions in people’s best interests if they lacked the full capacity to make decisions themselves. One person said, ‘‘I know my own mind and the staff know this, and I get on with things how I want to.’’ We saw staff making sure people were happy with their choices if they chose them using pictures or signs. Care plans clearly states how staff were to check with people that they were happy with their choices. A relative said, ‘‘We discuss [family member’s] best interests regularly with the staff team.’’