Spirit House

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

We looked for evidence that staff involved people in decisions about their care and treatment and provided them advice and support. This was the first inspection for this service since its registration with CQC. This key question has been rated as good.

This service scored 79 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

There were systems and processes to assess people’s health, care and wellbeing needs to ensure the care and treatment was effective. A thorough medical history was obtained before any assessment to ensure appropriate care, treatment and prescribing. The pulmonary rehabilitation programme involved face to face and video sessions via the provider’s app. Where people did not have access to technology to download the app, the provider loaned a device and people were given a ‘how to’ guide to help them navigate the screen. For those identified as not confident using technology, technical support instructors were able to provide further support to ensure these people knew how to use the app. We reviewed positive patient feedback that expressed how grateful they were to the team that explained how to use the device. This simple explanation led to patients being able to access the resources needed to improve their condition. The education materials on the app were tailored to the conditions the patient had. People had access to resources such as an education booklet, this was available in other languages. We received positive feedback from people who told us they felt their needs had been appropriately assessed and understood. Feedback provided by the service showed that 96% of patients would recommend the hybrid programme. Patients expressed how this programme enabled them to do the exercises from the comfort of their own home and not have to rely on transport, making the programme accessible. We also received feedback from people expressing how they were grateful for the face to face sessions as the instructor was engaging but this was also an opportunity to relate to other people with similar health conditions.

The service planned and delivered people’s care and treatment with them, including what was important and mattered to them. We saw evidence that care was delivered in line with national evidence-based guidance. Staff were updated with the latest information, guidance and changes within the service

The provider worked well across teams and services to support people. The provider had access to the information they needed to appropriately assess, plan, and deliver people’s care, treatment. The provider had processes in place to share information with the patient’s registered GP when required. Team meetings were held on a regular basis that had clear agenda items, highlighted agreed actions that were followed up during the next meeting to ensure progress had been made. Governance meetings were held to ensure all teams were aware of governance changes and policy updates. These meeting minutes were sent to all staff to ensure the staff that were unable to attend were still made aware of the updates. A monthly newsletter called ‘Refresh’ was shared amongst staff and was used as an opportunity to capture all important information. For example, it shared progress, celebrated impact, and kept everyone connected to the improvements they had made together to benefit people’s care. The service hosted an event twice a year called ‘Spirit Fest.’ This gave staff an opportunity to raise ideas and improvements. We received positive staff feedback about this event, as they told us they found it beneficial to meet face to face for open discussions.

The service supported people to manage their health and wellbeing to fully maximise their independence, choice and control. The service had developed a platform to give people easy, on-demand access to support. It helped them engage with educational resources, track their progress, and maintain long-term behaviour changes. For people on the pulmonary rehabilitation programme, supportive materials were accessible such as smoking cessation education. The service addressed how people may feel lonely with their diagnosis so implemented weekly exercise and education sessions with a question-and-answer session. This was an opportunity to bring people together. Ongoing guidance from staff members motivated patients and ensured programme progression. For people on the weight loss programme, lifestyle advice was accessible alongside the injections. Food portion leaflets were also available to help support a healthier lifestyle.

The service monitored 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. They monitored people on the pulmonary rehabilitation programme who did not attend their follow up assessment. Between September 2025 to December 2025, out of 110 people, 21 people (19.1%) did not attend their follow up assessment. The service made changes to create a more structured booking protocol and increased their communication by sending a reminder. The audit was repeated between January 2026 to March 2026 which showed a significant improvement in attendance rates. The findings showed, out of 87 people only 5 people did not attend, taking this from 19.1% to 5.7%. The service monitored clinical outcomes for those referred to the pulmonary rehabilitation programme. All patient outcomes improved. For example, the walking distance and the quantity of the sit to stand exercise increased. Questionnaires were used to regularly track patient exercises and wellbeing. These outcomes were consistently above the national standard. We received positive feedback from patients that expressed this programme led to significant improvement in their fitness level, which therefore improved their quality of life. The service monitored people on the weight loss programme and findings showed that people experienced the desired weight loss. We received patient feedback that expressed they had seen significant results, and felt this programme was very manageable. The treatment was effective, and the weight loss had been gradual and sustainable.

The service informed people about their rights around consent and respected these when delivering care and treatment. Patients received information about their care and treatment in a way they could understand. It was evident from speaking with the provider that they understood the requirements of legislation and guidance when considering consent and decision making. Patient’s capacity and ability to consent was considered and clearly recorded. Leaders demonstrated a commitment that they would only enrol people onto the weight loss management programme if consent was gained from the patient to gain access to their medical history from their registered GP before proceeding with any treatment.