Advance Newham Domiciliary Care and Supported Living Services

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 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 with them on a regular basis. People’s needs were assessed and continually updated as part of the organisations care planning system which kept information live. Most people had lived in the service for many years, so their needs were well understood. Staff told us how managers drew up assessments and plans and how this is then disseminated for the team to read and is discussed as part of team meetings.

The provider planned and delivered people’s care and treatment with them, including what was important and about what mattered to them. They did this in line with legislation and current evidence-based good practice and standards. The service used technology, aids and adaptations to keep people safe. Each flat was equipped with an alarm system that could be used if a person needed to alert staff to their support needs. The building was relatively modern, with a lift as well as a staircase. Doors were wide enough to fit a wheelchair through should a person require one. This meant that in the event of a person’s physical needs changing the home would be able to meet those changing needs and people would be able to remain in their homes.

The provider worked well across teams and services to support people. When required, the service was able to work with other agencies to support people, working together to ensure there was a seamless transition across services. The service worked with health professionals including local GP services to ensure people received the best care possible.

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 at the service were acutely aware of the necessity to keep people active to avoid health concerns in later life associated with diet and weight. One person had their own treadmill which was used as part of their daily routine to stay health and fit. Other people were engaged in a variety of pursuits that kept them active and whilst people had choice with what they ate the staff used their knowledge of healthy eating as a positive influence to guide people towards eating healthily.

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent. The provider’s care planning system made it easy for staff to monitor people’s health. Records were kept for each person about their health appointments with details of treatments and follow up appointments with health services aimed at achieving the right outcomes.

The provider told people about their rights around consent and staff respected these when delivering person-centred care and treatment. Staff understood the necessity of gaining people’s permission before they supported people. One staff member told us, “We ask people their consent before offering any personal care, entering their rooms or giving medication.” The provider understood their legal obligations around consent and the necessity to restricting people’s freedom. We saw correspondence where the provider had sought approval from statutory bodies to deny people the opportunity to exercise some of their rights to keep them safe.