Liberty Centre

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 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.

The registered manager told us they carried out an assessment of people’s needs prior to the provision of care and records confirmed this. The assessment involved the person and their relatives where appropriate, so it captured what was important to them.

Care plans were in place for people. These were drawn up with the involvement of people and their relatives where appropriate. They covered areas including health diagnosis, mobility, choice and communication, health and medication, eating and drinking, living safely and taking risks, family and relationships, community, learning and leisure, behaviour, and daily routine. The registered manager told us a review of care plan reviews was carried out every month six months or as and when required, to reflect on the changes and support required.

People told us their care plans were reviewed and that they were involved in the process. One relative told us, “We were fully involved and were part of our relatives’ transition into the service. The provider continued to involve us in care reviews and update us about our relative’s health and well-being. We are very impressed with the service.”

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.

Policies were in line with national good practice and care was given in a person-centred way, in line with the person’s wishes, and people were involved in their needs assessment. Care plans included information about what mattered to them, including their likes and preferences.

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 continued to encourage people and their relatives to discusses any concerns. One relative said, “I do have meetings with the provider to discussed changes in my [relative’s] health and well-being”. Another relative commented, “The support my [relative] received had a genuinely positive impact on their life. They had been encouraged to participate in meaningful and enriching activities, including opportunities to travel abroad.”

The registered manager told us that staff support people using the service to book their GP appointment, and other healthcare outpatient appointments. The registered manager maintained effective communication with the person using the service and their relatives. People and their relatives confirmed this with us. Information was shared with the staff whenever there were changes to people’s care and support.

The staff we spoke with, demonstrated a good awareness of people’s health and medical needs and, how they would respond to them, if people were to become unwell. The staff had access to the information they needed to appropriately assess, plan and deliver people’s care and support.

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 by staff to stay healthy and well in line with their assessed needs. Person’s wishes were documented in their care plans. The care plan we reviewed, clearly highlighted the support the person using the service required and how staff can meet those needs. The provider followed best practice in line with the regulatory guidance available. People and their relatives were involved and assessed to make decisions in relation to manage their health and well-being.

Staff were aware of people’s health diagnosis, dietary requirements, lifestyle, communication, mobility, and spiritual needs. One staff member said, “We respect people’s choices. They can choose whatever they like to eat.” The records we reviewed also demonstrated that people were given choices to choose from various activities and food they preferred to eat.

People’s independence was promoted. For example, people were encouraged to prepare their meals and do household chores under supervision.

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 were supported to attend their annual healthcare check-ups including medicines reviews. One relative said, “Staff take very good care of [my relative’s] health. They have regular checkups, exercise and healthy meals. My [relative] is supported well by staff; and encouraged to be independent by doing chores and taking care of themselves”. Another relative said, “My [relative] has been encouraged to participate in meaningful and enriching activities, including opportunities to travel abroad with staff. These experiences have helped to build their confidence, promote their independence, and enhance their overall quality of life”.

People’s care and support was monitored to help improve outcomes for people. This included electronic monitoring, such as daily logs.

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

People and relatives told us they were involved in planning their care and support and were able to share their preferences for how they wished to receive care. The registered manager completed mental capacity act assessments and best‑interest decisions where people lacked capacity. This ensured care and treatment were delivered lawfully and respectfully, with people’s choices recognised and upheld and appropriate safeguards in place where people were unable to give consent themselves.

We spoke with staff and they demonstrated a good understanding about the importance of people’s consent. One staff member said, “We always knock on people’s door before entering into their bedroom. It’s disrespectful not to knock on the door before entering into people’s bedroom.”