Pathways to Independance

On this page

• Overview
• Person-centred Care
• Care provision, Integration and continuity
• Providing Information
• Listening to and involving people
• Equity in access
• Equity in experiences and outcomes
• Planning for the future

Responsive – this means we looked for evidence that the provider met people’s needs. At our last assessment we rated this key question good.

At this assessment the rating has remained good. This meant people’s needs were met through good organisation and delivery.

This service scored 79 (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 were at the centre of their care and treatment choices and decided, in partnership with people, how to respond to relevant changes in their needs.

Care plans, reviews and visit records reflected people’s preferences, goals and communication needs. Staff knew people well and tailored support around what mattered to them. Outcome examples showed people achieved meaningful goals, including increased independence, community participation and reduced social isolation.

The provider understood the diverse health and care needs of people and the local community, so care was joined-up, flexible and supported choice and continuity.

Evidence showed effective partnership working with families, advocates, healthcare professionals and social workers. Care records showed coordinated support and effective communication between services. Healthcare professional feedback was positive and described effective collaboration and continuity of care. An advocate told us, “I do recognise the staff who are consistent, with a good knowledge of [Person] and providing excellent support.”

The provider gave people appropriate, accurate and up-to-date information in formats tailored to their individual needs.

Communication plans and care records included guidance on how people preferred information to be shared. Staff adapted their communication to support people’s understanding and decision-making. People told the provider they received information they could understand and use.

The provider made it easy for people to share feedback, raise concerns and be involved in decisions about their care and support.

People were involved in care planning, reviews and decision-making. Feedback, surveys and reviews showed people felt listened to and consulted about their support. Records showed people’s views and preferences were reflected in care planning. An advocate told us, “[Person] is very much listened to.”

The provider made sure people could access the care, support and treatment they needed when they needed it.

Staff adapted support to meet people’s communication, health and physical needs. People were supported to access healthcare, community activities, volunteering and social opportunities. Staff made reasonable adjustments and used personalised approaches to help people take part and maintain their independence.

Staff and leaders were innovative in how they listened to information about people who are most likely to experience inequality in experience or outcomes. Staff and leaders actively used this information to provide exceptionally tailored care, support and treatment in response to this.

People received highly personalised support that reflected their communication needs, health conditions, aspirations and preferences. Evidence consistently demonstrated people achieving outcomes that had a significant impact on their quality of life, independence and wellbeing. People were supported to develop and maintain meaningful relationships, participate in community life, access volunteering opportunities, improve their health and achieve greater independence.

Examples included one person achieving a long-term goal of moving from a more restrictive living arrangement into their own tenancy, people progressing towards greater independence through volunteering and community participation, and people maintaining important relationships whilst receiving support tailored to their individual risks and circumstances. Across the service, outcomes showed people were living more independent, connected and meaningful lives because of the support they received.

These outcomes reflected the principles of Right support, right care, right culture and demonstrated a sustained commitment to improving people’s quality of life. A relative explained, “I think [Person] is living the best life that they can.”
 

The provider supported people to plan for important life changes, so they had enough time to make informed decisions about their future, including at the end of their life.

Care plans and reviews focused on people’s long-term goals and aspirations. Staff supported people to develop independence, life skills and community participation.

Where there were concerns about a person’s ability to make a specific decision, staff followed the Mental Capacity Act 2005. This included decision-specific capacity assessments and, where a person was assessed as lacking capacity, decisions made in their best interests with the involvement of relevant people.