Living Well North 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 inspection of 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 71 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

Staff made sure people’s care and treatment was effective by assessing and reviewing their health, care and well-being needs with them. The registered manager met with people and their relatives before packages of care started to ensure their needs could be met by the service. A relative told us, “We went through everything in the initial assessment, I was really impressed with the assessment.” Another relative told us, “The management came out to meet us to see what [Name]’s capabilities were before using the service.” The registered manager completed a needs assessment. However, this did not contain details about people’s personal and oral care, or their medicines, preferences and support needs. Further development was required to ensure this information was reflected in all people’s care plans. The registered manager told us this would be addressed.

Staff 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. People were supported with their nutrition and hydration where required. A relative commented, “There has never been a problem when I ask carers to prepare specific food for [Name], they will always respond to my requests.”

Staff at the service worked well across teams and services to support people. The service had a system in place for staff to communicate with each other which enabled them to effectively deliver people’s care and support. Staff had access to an app on their electronic devices where updates and messages could be shared between staff instantaneously. Staff made timely referrals and worked well with other agencies to ensure people's treatment needs were met.

Staff at the service supported people to live healthier lives and where possible, reduce their future needs for care and support. Staff had the knowledge to monitor and identify a deterioration in a person’s health. Other people managed their own health and wellbeing with the support from their loved ones. Where people required support, such as making phone calls to a person’s GP, staff supported people to do this.

Staff 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. There was evidence of regular reviews and action being taken immediately following any changes to people’s health needs. During reviews, care needs were discussed to improve outcomes. People and relatives’ comments included, “I have a care plan in place, it was reviewed a couple of weeks ago with my input” and "We have a care plan in place, it is followed with any tweaks when required with my involvement.” Regular audits were also carried out to monitor and improve outcomes.

Staff at the service told people about their rights around consent and respected these when delivering person-centred care and treatment. People’s consent to care and support was respected by staff. A relative commented, “[Name] can still express when they need support and when they don’t and the carers respect that.” The management team carried out assessments, around people’s mental capacity and care records contained all relevant information and were documented in line with guidance.