Avalon Clarence 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 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’s needs were assessed prior to admission and relatives told us they were involved in reviews. Care plans and risk assessments were person-centred, detailed and specific to people’s likes, dislikes and preferences.

Staff knew people well and were able to explain how they supported them in line with their assessed needs. This meant people received care that was responsive to changes in their needs and circumstances.

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.

People were involved in developing and reviewing their care plans, so their support matched their needs and choices. Care was delivered by staff who knew people extremely well and who involved them in daily decisions around their support needs.

During our assessment, we observed staff engaging positively with people in communal areas in ways that met their communication needs. Staff demonstrated an understanding of people’s preferences and supported them in ways that promoted comfort and wellbeing.

Nutritional needs were met including food that was gluten free and dairy free, and the provider liaised with Speech and Language Therapists around people’s dietary needs appropriately.
We found the provider was working within the guidance, ‘Right support, right care, right culture’.
A relative told us, “It’s (the service) has been a godsend ...it's changed everything for us as a family."

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 together effectively to support consistent care. They shared information through daily handovers, regular meetings and discussions with managers and senior staff. Referrals were made to health professionals when needed to ensure people’s needs were met during their stay at the service.People’s information was accurate and available for sharing with professionals and other services when required.

A staff member told us, “The teamwork here is great- we smash it.”

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 had choice in how they spent their time and could access all areas of the service, including the garden. Staff supported people to develop skills and achieve personal goals.
Staff knew people well and were able to identify any changes in their presentation, emotional state or distress, which may show a deterioration in their health or wellbeing.
 

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.

Systems and processes were in place to effectively monitor people’s care and treatment. The manager maintained oversight of people’s health monitoring to support improved outcomes and referred to health professionals when needed, for example dietician and speech and language therapist.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. Staff had received training and understood mental capacity and the importance of people being able to make choices and being supported to make those choices.

We saw staff seeking consent from people during our visit and we saw examples of easy read consent forms. Staff spoke politely to people and gave people choices about what they wanted to eat or do, for example one person used picture cards to help choose and staff told us they would offer options for clothes or activities.