Joyous Limited

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 assessed people’s needs and choices before they started using the service. People and their relatives told us they were consulted and able to contribute their ideas. Managers developed care plans which reflected these assessments. These gave clear guidance for staff. Information was personalised. Care plans were regularly reviewed and updated.

Staff delivered evidence-based care and support. The provider ensured staff undertook a wide range of training to help them understand and meet people’s needs. Staff undertook training about caring for people with a learning disability. People using the service and their relatives told us staff were skilled. A relative commented, “Carers are very nice and well-trained.”

Staff explained training was useful. They told us managers shared their knowledge and guidance as well as delivering training. Care plans included guidance and information about best practice.

Staff worked well together and shared information. Staff told us there were effective systems for communication. Comments from staff included, “We have a handover each day and advise each other” and “We have online systems for sharing information. We have group discussions and managers are always there to help us.”

We saw staff and managers created and shared a range of guidance and information based on their experiences working with people.

Staff worked with other professionals to share information when needed.

The provider supported people to have healthy lives. Staff provided 24-hour care for 1 person. They helped them plan their meals, activities and exercise. They promoted healthy lifestyle choices.

Managers had assessed and planned for people’s healthcare needs. The registered manager and deputy manager were nurses and were able to provide guidance and information about different healthcare conditions. A relative told us, “[Person] has complex healthcare needs. Staff really understand the complexity of these needs, know what to look out for and make sure [they] remain well.”

The registered manager explained they had arranged for 1 person to have additional healthcare monitoring, checks and a medical review in response to concerns about their health.

Staff monitored people’s health and wellbeing. They kept records of the care they provided. Managers reviewed these to make sure care plans were being followed.

Staff helped 1 person plan objectives based on their interests and needs. They kept an electronic record of the person’s progress in meeting these. This included photographs, videos and reflections about what had worked well and areas for learning. This information was shared with the person and their relatives.

The provider ensured people who had the mental capacity to consent were supported to do so. They provided information in formats people could understand and supported them to make decisions about their care. Staff offered people choices and respected their decisions. People and relatives confirmed this.

Some people lacked the mental capacity to make certain decisions. The provider consulted with their representatives to help make decisions in their best interests.