Luke's Place

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 inspection under the previous provider we rated this key question inadequate. At this inspection the rating has changed to 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 care plans were outcome-focused and regularly reviewed. People were encouraged to set personal goals and were supported to achieve them at their own pace. We saw examples of people having new experiences by visiting different places, attending health appointments and meeting new people and making new relationships.

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 management team advocated for people to ensure that when they needed services regarding their health and wellbeing they were supported with this.

A relative said, “Really brilliant for health appointments, if [Relative] is not well, they let me know.”

The provider worked well across teams and services to support people. They made sure people were able to share what was important to them and only needed to tell their story once by sharing their assessment of needs when people moved between different services.

When speaking with staff they knew people well. Professionals also confirmed that when speaking with staff they were able to share what was important to the person. A professional said, “Two of the residents had complex care and support needs, and I was impressed by the staff’s level of concern, the support and care they offered to these individuals, and how proactive they were in ensuring that the Social Worker and I were kept updated throughout.”

People were supported to access healthcare services and attend appointments. Staff worked closely with professionals such as GPs, social workers, and mental health teams to ensure continuity of care. A professional said, “I have supported signposting to other services for prevention of admission to hospital. Have completed Advance Care Planning with staff and families and planning for the future. Have discussed how to get someone home from hospital quickly that may have been for end-of-life care. I remain in contact via email for further training opportunities bespoke to their needs. I enjoy working alongside the staff and team at Luke’s place.”

People were supported to regularly review the support they received from the provider and other health agencies. They ensured outcomes were positive, and people were involved in those discussions. For example, a person required intensive health involvement when the provider took over the service. The staff supported the person to improve their quality of life through ensuring they had the right people around them to improve their health and well-being. The staff and provider were able to understand the persons health needs, knowing patterns when the person’s health deteriorated which helped the professionals understand when any health interventions were required.

People’s life experience and strengths were discussed. However, managers acknowledged they were still getting to know some people and care plans required more detailed short, mid and long-term goals.

The service followed the principles of the Mental Capacity Act 2005. Staff supported people to make their own decisions and respected their right to take informed risks.

Staff had a good understanding of the Mental Capacity Act (MCA) and were able to explain how they ensured people’s consent was sought. A member of staff told us, “We listen a lot to our residents as they are capable to make decisions that suits them, we may offer choices, but the final decision still lies with them. For example, all our residents make their weekly meal choices, and we ensure to create weekly menu to include all their choices. There is never a choice made on the person’s behalfbased on familiarity.”

People’s care plans included capacity assessments which detailed how their capacity for the decision was assessed. Where needed, best interest decisions were made, and Deprivation of Liberty Safeguards (DoLS) were requested or in place.