Local Solutions Liverpool Branch

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 inspection since the provider changed registered address. Their rating at the last inspection was good. At this inspection this has remained good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 71 (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 mostly made sure people’s care and treatment was effective. People’s needs were assessed before care began and reviewed regularly. Care plans were in place for all individuals and generally reflected their current needs, preferences, and health conditions, however some assessments did not contain enough detail. For example, 1 person’s assessment included instructions for their Percutaneous Endoscopic Gastrostomy [PEG] care which were basic and did not include references to training, water flushes and specific detail around the PEG, including who to contact if there was an issue. The provider was aware of these gaps and had begun reviewing documentation.

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. Staff followed care plans and used appropriate techniques to support people safely. For example, 1 person with a learning disability had a personalised moving and handling plan, and another with mental health needs had clear guidance for monitoring wellbeing and reporting concerns.

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. Staff worked well with other professionals to ensure people received coordinated care. Care plans included input from district nurses, occupational therapists, and mental health teams. For example, 1 person’s catheter care was overseen by district nurses, and another had an Occupational Therapist [OT] referral in place for mobility support. Staff were aware of how to escalate concerns and liaised with external services when needed.

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 maintain their health and wellbeing. Care plans included guidance on nutrition, hydration, and skin care. For example, carers ensured people had access to fluids between visits and supported with meal preparation.

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured outcomes were positive and consistent, and that they met both clinical expectations and the expectations of people themselves. The provider monitored outcomes through care plan reviews, spot checks, and audits. Where issues were identified such as missed medication or short visits actions were taken, including staff training and changes to care delivery. For example, following a missed medication incident, the provider arranged refresher training and updated the care plan to improve clarity.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. Staff understood the importance of gaining consent and supporting people to make decisions. People told us they were involved in their care and that staff respected their choices. One person said, “If I am not going out, I say I don’t want a shower, it’s my choice.” Staff had received training in the Mental Capacity Act and were aware of the need to assess capacity and involve others where appropriate.