Jothno Care and Support

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 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’s needs were assessed before they started using the service. Care plans were developed with the involvement of people and their relatives. These were of a good standard and covered areas including personal care, medicines and equality and diversity. They were person centred and contained detailed information about how to support people. They were subject to regular review, so they reflected people’s needs as they changed over time.

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 provider was able to provide evidence-based care and treatment. 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 assessment of need.

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 worked with the local authority and other services to ensure people’s needs were met and that they were able to move between services in a smooth way. The initial assessment of people’s needs and subsequent care plans included input from the commissioning local authority. Information was shared with the staff team at the service to ensure all staff were aware of the person’s assessed needs and people themselves were involved in the assessment process.

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’s healthcare needs were included within care plans. The registered manager told us they encouraged people to eat healthily, while recognising that people were able to make their own choices about what they ate. The registered manager told us about one person who they supported to eat healthily and take plenty of exercise, and as a result their prescribed medicines had been reduced. The service arranged and supported people to attend appointments with medical professionals, including providing transport. One person said, “They phone and get me an appointment with the physiotherapist or anything and then they change the time for me and go with me.”

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’s care and support was monitored to help improve outcomes for people. Daily records were maintained so the provider could check support was given in line with care plans and care plans themselves were subject to review.

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

People were able to consent to their care as much as possible. The were involved in developing their own care plans so they reflected what support the person wanted. The provider had carried out mental capacity assessments. Where people lacked capacity to make decisions next of kin and the local authority had been involved in making decisions on behalf of people. Staff told us they sought permission from people before providing care to them. One member of staff said, “Communication plays a big part in their dignity. You have to let them know if you are going to touch them in any way.”