Rise up Support for Living Ltd

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 the first assessment 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.

The provider carried out their assessment of people based on their comprehensive care planning system which took into consideration all aspects of how the person wanted and needed their care to be delivered. For example, their assessment included support around how they wanted to be supported whilst detailing the things people could do for themselves.

People were involved in deciding what support was needed and where appropriate the provider met with people and their families to seek their views. Frequent assessments were carried out by the registered manager. Staff told us how they continually assessed needs on a daily basis which meant the care plan remained up to date, keeping people safe whilst maintaining their independence.

The provider planned and delivered the 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 provider had a good understanding of the range of equipment available to support the client group they offered support to. For example, they supported a person to use a walking frame to maintain their safety and independence. Staff we spoke with told us they were also aware of assistive technology equipment such as sensor alarms which could be used to monitor risks of falling.

Staff were trained to use the equipment people needed for their care. As well as the use of walking aides they told us how some people needed adapted equipment such as plates and cutlery for eating. Staff told us how such equipment maintained people’s independence meaning they were less dependent upon staff.

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 if people moved between services.

The registered manager and staff team were experienced and knew about services which existed that improved health care for people and had many year’s experience working alongside such services. For example, the registered manager told us about GP and pharmacy services in the local area and how they were able to liaise with such services to ensure people got what they needed. Staff told us they were confident about accessing support such as GP’s for routine enquiries and emergency services in the event of people becoming seriously unwell. For example, a staff member told us how they had sought advice from a GP following concerns relating to a person’s health.

Staff supported people to manage their health and wellbeing to maximise their independence, choice and control. Staff undertook their role in supporting the people to lead healthy lives. They ensured people ate a balanced, nutritious diet and had adequate fluids. Staff kept daily records of what the people had to eat and drink and reported any changes or concerns to their manager and people’s families. A family member told us the support offered by the provider gave them assurances that their loved one was well cared for and were confident staff ensured their family members were supported with enough food and fluids to maintain good health.

The provider routinely monitored people’s care to continuously maintain and improve it. They ensured that outcomes were positive and consistent, meeting expectations of people and their families.

Staff had a good knowledge of people they supported and worked closely with them monitoring their health and wellbeing. For example, a staff member told us how they recorded everything they saw and talked to people about their observations with everyone involved in people’s care. They told us how this ensured everyone had the same knowledge about people’s health and wellbeing and about the importance of making sure people knew what was going on so they felt involved and reassured.

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

Some people had capacity to make decisions about their care and the provider recorded where people could make decisions. The provider routinely assessed people’s capacity on a daily basis, recording where they believed changes were occurring and discussing it with those involved in people’s care.

The provider had systems and policies in place which were in line with the Mental Capacity Act 2005 which meant they knew how to support people who lacked capacity. Staff were knowledgeable and were able to tell us about the steps required to ascertain whether a person had capacity and the processes and people involved to help make decisions where people lacked capacity.