Yourlife (Rugby)

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 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 told us their needs were assessed prior to receiving support and regular reviews were completed to ensure their care remained effective. Assessments included people’s health, mobility, communication and continence needs.

Where people required equipment to support their mobility, the provider assessed whether staff had the competence to use the equipment safely. One relative told us, “You should have seen the rigmarole when we first got [name of piece of equipment]. They wouldn’t use it until they were trained. Everything is by the book here; they dot the i’s and cross the t’s and make sure everyone is competent enough to use the kit.”

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.

One relative told us how staff had supported their family member when they were diagnosed with a health condition after commencing their care package. Managers had approached external organisations to seek current guidance and to update their knowledge about the condition. This relative explained, “The staff here have researched the condition and tried to find out about it. They asked lots of questions about how it’s affecting [Name], what the changes are and what this means for [Name].”

Most people we spoke with made their own meals or had family that supported them with this. Where people had swallowing issues that put them at risk when eating and drinking, even when staff were not supporting with meals, this was clearly recorded in people’s care plans. This ensured staff had the knowledge they needed if they were asked to support with nutrition and hydration in an emergency.

The provider’s compliance team reviewed policies and procedures to ensure they reflected best practice guidance. Any updated policies or guidance were shared with the registered manager to be cascaded to the wider staff team. Staff training was regularly refreshed so staff were aware of any changes in best practice.

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.

Staff described communication across the small staff team as being effective. Staff were updated about any changes in people’s needs at the beginning of their shift and this was supplemented by meetings and alerts on the electronic care planning system. One relative told us how information was shared throughout the team. They explained, “If anything happens, they have a meeting downstairs and share that information. I only tell 1 person, and it gets passed around.”

Whilst most people made their own healthcare appointments, staff provided support when this was requested. Staff recommended referrals to other healthcare professionals when they felt further guidance would be beneficial in supporting people to remain living independently in their own homes.

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’s care records included information about their health conditions. This included information about the presentation of the condition, signs of deterioration and any symptoms staff needed to respond to promptly.

The provider referred people to an occupational therapist to ensure people had the equipment they needed to maintain their independence and mobility whilst keeping them safe.

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.

Staff understood the importance of monitoring people through their observations and reporting any concerns to ensure positive outcomes for them. Staff gave examples showing how they had appropriately escalated concerns across teams and to relatives, so people got healthcare support when they needed it.

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

The registered manager and staff understood the importance of consent and assuming people had capacity to make decisions about their care and support under the Mental Capacity Act 2005 (MCA). Managers understood their responsibilities to protect people's rights and what to do when someone might not have the capacity to make their own decisions, so decisions made on people's behalf were made in their best interests. The provider kept copies of Power of Attorney (POA) documentation so they could liaise with the correct representative for health and financial decisions when a need was identified.

At the time of our inspection, every person receiving a regulated activity had the capacity to make their own decisions about their support needs. People, or with their consent their relatives, had signed their care records to show they agreed to their packages of care.