1, 2 and 3 St Georges Gardens

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.

People, their families and relevant health and social care professionals were actively involved in assessing and regularly reviewing their care and support needs. People’s assessments included sufficient detail about their needs and what was important to them, which helped ensure they received appropriate and effective support. The information gathered from these assessments and reviews informed each person’s care and risk management plans. This ensured people’s support remained appropriate and responsive to any changes.

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 demonstrated strong knowledge and understanding of how to support people with a learning disability and Autistic people. They consistently described using agreed approaches to ensure care was delivered safely and effectively. Staff also told us they had access to the training they needed to meet people’s individual needs.

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 described strong teamwork and mutual support across the service. They worked well with health and social care professionals to ensure care and support was tailored to people’s needs. Staff told us the available training supported them in delivering good-quality 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.

Staff had a good knowledge of people’s preferences and dislikes regarding food. Staff helped people access healthcare professionals promptly, and relatives described being informed quickly when concerns arose. People’s emotional well-being was supported through caring interactions, and staff showed empathy and patience.

People’s health and well-being were regularly monitored and recorded in daily care notes. Staff identified any changes promptly and took appropriate action to help people maintain their health.

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.

Quality assurance processes included regular audits of medicines management, infection control and the care environment, with any required actions implemented promptly. Staff described using approaches that helped reduce people’s distress, such as offering reassurance and following agreed communication plans.

Records we reviewed showed that people’s health and care needs were monitored in line with their assessed needs. This information informed reviews and ongoing care planning, helping to ensure people received appropriate support.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. Staff demonstrated a clear understanding of the principles of the Mental Capacity Act (MCA). One staff member told us, “Mental capacity is about ensuring people can make their own decisions. Some people have capacity over decisions such as what to wear or what to eat and when, but they may need support to go out into the community.” This reflected the staff’s understanding of decision specific capacity and how to support people without restricting their rights.

Where people lacked the capacity to make particular decisions, detailed mental capacity assessments and best interest processes had been completed. Appropriate Deprivation of Liberty Safeguards (DoLS) authorisations were in place when required.