Aspire in the Community Rushbrooke House

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

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 were at the centre of their care and treatment choices and they decided, in partnership with people, how to respond to any relevant changes in people’s needs.People received responsive, personalised care and support that met their needs and reflected their preferences.

Care plans and risk assessments were detailed, people’s capacity, choices and what was important to them was considered. This enabled staff to support and care for people in a way that was important to them, valuing and respecting their wishes. Our observations showed staff had a person-centred approach and there was a relaxed atmosphere. People’s homes were personalised, and homely.

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

Systems and processes were in place to support continuity of care and to ensure people had access to relevant health professionals when they needed them. Staff understood people’s needs and supported them in attending appointments when required. The staff team included a Positive Behaviour Support Specialist who spent time with people to understand their needs and ensure continuity of care was delivered in accordance with the principles of ‘Right support, right care, right culture’ guidance.

The provider supplied appropriate, accurate and up-to-date information in formats that were tailored to individual needs.

Support plans and information was recorded in a number of different ways in line with people’s requirements for meaningful communication and decision-making. This included text in large print, the language used, pictorial health leaflets and easy read signage around the building and on notice boards. The provider met the requirements of the Accessible Information Standard. Care plans were detailed about the people who communicated in ways which were individual to them, this information was accurate and up to date.

The provider made it easy for people to share feedback and ideas, or raise complaints about their care, treatment and support. Staff involved people in decisions about their care and told them what had changed as a result.

Staff worked closely with people’s families and those close to them to assist them to understand decisions they had made, and to advocate on their behalf when differences arose. One person told us, “We are involved as a family, and they take on board what we say. They understand [Name’s] needs and know how to support [Name] and calm [Name] down.” People told us they were able to raise any concerns or complaints to the staff team and felt comfortable to do so.

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

Staff understood the needs of autistic people and people with a learning disability and worked hard to ensure that typical barriers faced by people were removed or mitigated against. Staff supported people to access services in a timely way, and processes were in place to ensure people did not experience any barriers in accessing care and support.

Staff and leaders actively listened to information about people who are most likely to experience inequality in experience or outcomes and tailored their care, support and treatment in response to this.

Staff worked to ensure that reasonable adjustments were in place for people who needed them to live a fulfilling life and participate in the running of the service. People were encouraged to fulfil their aspirations and goals. One person was supported to participate in working with staff to carry out tasks throughout the home, accessible documentation tailored to the person's needs was provided to support this. Staff told us, “[Name] was doing a voluntary job; [Name] was supported to do that."

People were supported to plan for important life changes, so they could have enough time to make informed decisions about their future, including at the end of their life.

People were supported to understand and make decisions about their future care and support, including those relating to potential medical and psychological needs. Nobody at the service was receiving end of life care at the time of the assessment. Goals were included in most care plans. One staff member told us, “[Name] goes on holiday every year, we help to plan for that, [Name] goes with a key worker."