Amphion View 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.

At our last assessment we rated this key question good. At this assessment the rating has remained good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 67 (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 assessed prior to them being provided with a service, to ensure the service was right for them and their needs and choices could be met. People's assessments were based on recognised assessment tools which directed the provider and staff on how to support the person in line with best practice. These included skin integrity, eating, drinking and mobility. People were supported by staff who knew about these assessments and guidelines and supported them in a consistent way. Staff members could tell us about people's individual needs and wishes.

The provider planned and delivered people’s care and treatment with them, including what was important and mattered to them. They did not always do this in line with legislation and current evidence-based good practice and standards. We have reported on this in the safeguarding section of the report.

The service had evidenced based assessment tools embedded in their care planning system, for example, tools related to nutrition and skin integrity. These helped to ensure care was planned in line with current best practice guidance.

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.

Professionals told us staff provided good care, followed professional advice and sought additional guidance, as appropriate. A professional commented, “The staff are always very responsive.”

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 were supported to access healthcare provisions effectively and in a timely way. One relative told us staff always get medical appointments when it was needed. Information was passed to other healthcare professionals promptly for them to make an accurate assessment. They went on to say staff always fed back any significant changes which they found to be reassuring. Staff members had effective, and efficient, communication systems in place. This helped to share appropriate information with those involved in people's support. Staff members were knowledgeable about people's healthcare needs and knew how to support them in the best way to meet their personal health outcomes.

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.

Care plans demonstrated people’s care was frequently reviewed and updated to ensure it met their needs. Care staff had a good understanding of people’s care needs and were able to identify issues and provide feedback to health professionals regarding changing support.

Health professionals attended the home on a regular basis and there were monthly multi-disciplinary meetings to review people’s care and ensure they received appropriate treatment. A professional told us, “They always seek out advice if in a timely way.”

The provider did not always support people to manage their health and wellbeing, so people could not always maximise their independence, choice and control. Staff did not always support people to live healthier lives, or where possible, reduce their future needs for care and support.

Staff were aware of the Mental Capacity Act and the need to presume capacity to make decisions. Staff understood the importance of ensuring people were able to make decisions as far as they were able. There was evidence in people’s care records consent had been considered. We observed consent being sought from people on a day-to-day basis. However, we found where restrictive practices were being used, we could not be assured they were legally justified, proportionate, necessary and used as a last resort.