Sylvian Care Swindon

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• 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. The manager told us, “Our care planner, does an initial assessment and if we can meet the person’s needs then we put the care package together. We will speak with the person’s next of kin if appropriate and the person to ensure we build a good care plan and risk assessment.” We reviewed a sample of care needs assessments, all of which were very detailed. These included information about people’s background, health conditions, support required and identified risks. The information from these assessments was effectively transferred to people’s care plans. Staff told us they had access to information about people’s needs. For example, one staff member said, “I am informed of people’s assessed needs through care plans, risk assessments, and daily handovers. Any changes are communicated promptly and documented to ensure continuity of care.”

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. Leaders used evidence-based tools where appropriate to assess certain risks, such as the Malnutrition Universal Screening Tool (MUST) to assess if a person had any nutrition or hydration risks. People told us they were involved in the care planning process and told us their care was regularly reviewed to ensure it remained current and relevant.

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. People told us the service worked well with other professionals. One family member told us how staff worked effectively with an occupational therapist with regards to a new piece of equipment for their relative’s changing needs.

Staff told us they worked well as a team. There were processes to support staff working well together, such as team meetings, supervisions and handovers. We received positive feedback from professionals about how the service engaged with them. Comments included, “I find them very responsive”, “Consistently accommodating and responsive”, and “Excellent at maintaining communication”.

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 information within their care plans to support healthier lives. People had information about their medical conditions and how these affected them. People told us staff worked well with other healthcare professionals to support this.

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. There were systems for staff to monitor people’s health needs including documenting the care and support provided. One healthcare partner told us, “We conduct monthly audits [at the service] and have not found any concerns in relation to the carers notes and how long they are spending with each customer.”

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. The service sought consent from people. Where people lacked capacity to consent to their care and treatment, the service worked in line with the MCA to determine whether care and support were in people’s best interests. Staff had a good understanding about this legislation and how to apply it within their role. People told us staff asked for their consent before delivering care. For example, some family members said they heard care staff asking their family member for permission to go on with the next care task. Another person said they appreciated the way in which staff arrived, always knocking at the door and calling out when they arrived.