21 Hartsworth Close

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, care, wellbeing and communication needs with them.

People’s needs were reviewed to ensure the support they received continued to meet their changing needs. The provider maintained a strong focus on enabling people to develop skills and maximise their independence. Health and wellbeing needs were assessed on an ongoing basis, and environmental adaptations were made when people’s circumstances changed.

For example, the provider assessed people’s changing mobility needs and made appropriate adjustments to the environment to ensure they could continue to access their home safely and independently using their mobility scooter. This demonstrated the provider’s commitment to promoting independence and ensuring people’s needs were met in a timely and person-centred way and able to remain living in their homes.

A professional involved in people’s care spoke positively about the service. They told us, “The manager is proactive and insightful about people’s needs and acts in a timely, person-centred way. They [manager] can see people’s needs changing and will have thought it through and have a plan already in place to meet it.”

The provider 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.

The provider worked proactively to ensure people had equipment and technology which promoted their independence and enhanced their quality of life. Adaptations installed within the service, included a wet room and stairlift, reduced people’s reliance on support from others and enabled them to remain as independent as possible. The provider also supported people to use mobile phone technology to increase their confidence and safety when accessing the community independently, including helping them navigate routes and seeking support when required.

The provider worked collaboratively with external professionals to help ensure people received effective care and support. For example, the registered manager described how they had monitored a person following a fall and sought the involvement of an occupational therapist to obtain specialist advice and guidance to reduce the risk of future falls. This demonstrated a proactive approach to managing people’s health and wellbeing needs.

The provider 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.

The provider worked closely with a range of healthcare and social care professionals to ensure people’s needs were met. This included working with GP services, mental health professionals and social workers. The collaborative approach helped to achieve positive outcomes for people and supported their physical health, mental wellbeing and overall quality of life.

Staff knew people well and understood their individual needs, preferences and communication styles. Whilst staff were able to advocate on people’s behalf when required, they actively encouraged people to express their views, make decisions and speak up for themselves whenever possible.

One person told us staff supported them to attend GP appointments, which helped them feel reassured and more confident when discussing their health concerns.

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.

The registered manager told us all people living at the service were registered with a local GP and were encouraged and supported to attend annual health checks and other healthcare appointments as required. This ensured people health was monitored and addressed promptly.

People were supported to plan their weekly meals and shop for food they wanted. Staff held discussions with people about healthy eating, and the benefits of maintaining a balanced diet. Staff recognised the importance of respecting people’s choices while providing information and guidance to help them make informed decisions about their health and wellbeing. A staff member told us, “We talk about what a balanced diet is, and we offer them information so they can choose what they want to eat.”

The provider 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.

People’s care plans clearly outlined their desired wishes and outcomes, and staff worked alongside them to achieve these. For example, one person had identified goals relating to gaining employment and moving towards independent living. Staff were supporting the person to develop the skills and confidence needed to work towards these aspirations. A staff member told us, “This person has grown so much in confidence in the short time they have been with us, we are astounded with their progress they are making towards what they want to do.”

The provider monitored changes to people’s health and wellbeing and responded appropriately when needs changed. Adaptations and additional support were introduced when required to help people maintain their independence and quality of life. A professional told us, “When a person developed increasing, complex health condition the staff increased their own knowledge to ensure they could engage with the right health professionals to bring about the best outcomes.”

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

People had capacity to make their own decisions, and staff provided information and guidance to support them in making informed choices. Where appropriate, the provider involved family members and worked with relevant professionals to support decision making while respecting people’s rights and preferences.

A staff member described how they supported a person who chose to smoke. They said, “We know it’s an unhealthy thing to do but it is their choice. All we can do is provide them with information about stopping if they want to and about the risks of what they are doing. We can also talk to them about any signs of illness that might come with smoking so we can help them if this happens.”

Staff received training around the Mental Capacity Act 2005 (MCA) and demonstrated a good understanding of people’s rights to make their own decisions. They were able to explain the principles of the MCA and understood when it was appropriate to seek specialist advice or involve relevant professionals regarding decisions about areas such as healthcare, finances and accommodation.