Yanah Care

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 assessment we rated this key question requires improvement. At this assessment the rating has changed to 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 support was effective by assessing and reviewing their health, care, wellbeing, and communication needs with them.

Since our last assessment the provider had made improvements to their support planning process. Support records were now more detailed and contained information about people’s health conditions that could affect their day to do lives. This also included mental health conditions and learning disabilities.

Where medical conditions were identified, support plans and risk assessments were now in place that provided staff with sufficient information and guidance to provide effective care and support. This included detailed care and support plans for people with a learning disability. There was a specific focus on ensuring all risk assessments and support plans embraced people’s opportunities to lead an active and meaningful life, enabling them to feel part of their local community. Where able, people and relatives / carers were fully involved with this process.

The provider was in the process of transferring all paper-based care records to an electronic system. This system enabled staff to have instant access to updated records, ensuring people received the care and support they needed. We viewed both paper and electronic records. We found most support plans were detailed and individualised. Where we found a small number of records that required more detail, the provider acted promptly and made these changes.

A person we spoke with told us the staff supported them to attend activities in their local area. They had a particular passion for attending shooting galleries. Staff had completed extensive risk assessments to ensure the person and those supporting them were safe.

Staff told us they had sufficient information to provide people with the care and support they needed.

The provider planned and delivered people’s care and support 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.

Some people required support from staff to manage mental health conditions and to ensure learning disabilities were not seen as barriers to leading an active, fulfilling life. Relevant guidance was in place to guide staff. For example, we saw evidence based, best practice guidance for staff to follow for an autistic person. Staff had also received training to enhance their understanding.

Staff kept records on how and when they had supported people. This included monitoring people when they had shown signs of distress and working with them to help identify causes. The provider regularly reviewed these records to further enhance staff learning.

The management team worked well across teams and services to support people. They made sure people only needed to tell their story once by sharing their assessment of needs when people moved between different services.

Guidance received from health and social care professionals such as GPs, social workers and pharmacists was used to update care plans and risk assessments. This ensured people received the most relevant and up to date care for their needs.

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.

People told us staff understood their needs and provided them with the care and support they needed. A person who had a diagnosis of diabetes required staff to support them with their insulin. The insulin was kept in a safe place and the person understood why it was stored where it was.

Plans were in place to support the person to eat and drink healthily to reduce the impact of their diabetes on their health. The person told us staff cooked their meals for them, and they helped to choose the food and understood the need to make wise and healthy choices. This helped the person to lead a healthy life.

The provider routinely monitored people’s care and treatment to improve it. They ensured outcomes were consistent, and that they met both clinical expectations and the expectations of people themselves.

People's needs were assessed, and care and support was delivered in line with current standards. This included people’s ability to make their own meals and their ability to do things for themselves both in their own home and when out in the local area.

Staff were particularly proud of the support they had given a person to obtain a bus pass and also to consent to attending their GP. A staff member told us this had been a complex process, but both measures had meant an improvement in the person’s quality of life and their health.

Where concerns were identified these were acted on by referrals to health and social care professionals and/or agreed changes to people’s care and support requirements.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment.

People were supported to make choices about their day and night routines, with these preferences clearly recorded in their support plans. This included peoples right to be able to choose where they wanted to go in their local area. Accessible information such as meal planners and daily diaries had been used to help people understand and contribute to their daily routines.

We checked whether the service was working within the principles of the Mental Capacity Act (MCA), whether appropriate legal authorisations were in place when needed to deprive a person of their liberty, and whether any conditions relating to those authorisations were being met. We found the service was working within the principles of the MCA and if needed, appropriate legal authorisations were in place to deprive a person of their liberty.