Aspire in the Community Rushbrooke House

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. At our last assessment we rated this key question requires improvement. At this assessment the rating has changed to 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 history and exposure to trauma was considered in their care planning. There was a trauma informed approach to understanding people’s needs throughout assessment and review. One staff member told us how they prepared 1 person for their move to live at Aspire Rushbrooke, “We went out to meet [Name] in the place where [Name] lived, we took pictures and talked about it with [Name].” People had plans in place, so staff knew how to communicate effectively with them. Communication tools were tailored to each individual and available to them to enable them to express their views, wishes and to make decisions.

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 physical environment met people’s sensory and physical needs. External partner feedback included, “I’ve never had to recommend further treatments, all have been in place that I would have recommended, the service is ensuring people’s needs are met.”Staff told us about how they worked together to support a person’s planned treatment. Comments included, “We all worked together in [Name’s] best interests because a best interest plan is in place, it took us about 3 months. [Name] met the consultant, worked together, until [Name] was happy to attend."

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.

There were professionals involved in the assessment of people’s health, care, wellbeing and communication needs. One external partner told us, “I love the fact they know the residents well, know their needs and wants, they are very encouraging during the treatment.” People were supported to live a healthy life, and professionals were engaged in reviews and assessments to ensure relevant information was incorporated into people’s care plans. Staff told us, “The team is great everyone works together” and “It is like a family, we cooperate, and we look after the people, and we go to work with our whole hearts I would give Aspire 100% for teamwork."

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 were enabled to live their best lives. Staff and leaders engaged people, used information available and asked those closest to the person about their life. This enabled support to be tailored to the person’s physical, social and psychological needs. People told us, “[Name] has a healthy diet, they cook from fresh” and “[Name] has choice with food and goes shopping, they do promote [Name’s] independence, [Name] helps with cooking, cleaning and washing up."

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 skills, life experience and strengths were discussed with them and those involved in their care, to consider how people’s goals, ambitions and outcomes were planned and achieved. Peoples support was delivered consistently by staff, in a person-centred way specific to their needs. One relative told us, “They update me regularly. We discuss [Names] care plans every 6 months, and I feel involved."

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

One staff member told us, “I ask before I carry out a task, [Name] can politely ask you to leave, sometimes agree and sometimes say no."People made their own choices and decisions on a day-to-day basis about what they did, what they ate and how they filled their time. Where people could not verbally communicate, personalised communication plans were in place for staff to follow, this ensured people were in control of their own lives and enabled them to tell staff how they wanted to spend their day. Staff communicated with people about their choices using visual aids and sign language."