Re-Create Freedom

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 newly registered 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.

Before people started to use the respite service, their needs were assessed with input from the person, their relatives and commissioners, where appropriate. The assessments were used to inform the care plans and risk assessments, which were kept under review.

Relatives told us they were consulted about their family member’s needs. We were told they received a care plan to discuss with their family member to check it reflected the person’s needs and to confirm they agreed with 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.

People and their relatives were consulted about the care and support they received. This included support with their dietary needs, how they communicated and what they wanted to achieve during their stay at the service, such as developing independent skills.

People’s dietary requirements were documented, which included the specific support they required with eating and drinking.

The provider always worked well across teams and services to support people. They shared thorough assessments of people’s needs when they moved between different services, so people only needed to tell their story once.

Staf told us they worked well together as a team to meet the needs of the people using the service. The registered manager told us they had good relationships with commissioners and people’s relatives to ensure any changes in people’s needs were shared promptly.

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 consider areas such as healthy eating and exercise, including walking during their stay at the service. People were supported to develop their independence during their stay.

The registered manager told us due to the length of the respite stays people would not be likely to need access to health professionals, such as the GP. However, any information of concern was shared with relatives to ensure they were aware. In addition, staff were aware of how to call emergency services if needed. People’s records included emergency grab sheets, which held important information about the person should they require support in other services in an emergency.

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 needs and preferences were kept under review and any changes documented. Consultation and communication with the person and their relatives, supported the review of the person’s care needs and any actions required for their next stay. The registered manager told us the development of team leaders would support the reviews of care plans.

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

People were made aware of their rights relating to their stay at the service. This included people’s decisions about what they wanted to do being respected.

We saw people’s consent was sought during our visits and documents showed their consent was requested for the care and support they received.