Creative Support - Brownley Road

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 good. At this assessment the rating has remained 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 thoroughly assessing and reviewing their health, care, wellbeing and communication needs with them.

The provider demonstrated a comprehensive and person-centred approach to assessing people’s health, care, wellbeing, and communication needs. Assessments were carried out in collaboration with the person, and where appropriate, their families or representatives, ensuring care planning reflected individual preferences, strengths, and goals.

Robust assessment tools were used to identify a wide range of needs, including physical health, emotional wellbeing, social support, and communication requirements. Staff considered cultural, religious, and equality-related factors to ensure assessments were inclusive and tailored.

All assessments were regularly reviewed and updated to reflect any changes in the person’s condition or circumstances. This ensured care remained responsive and effective. Where appropriate, multidisciplinary input was sought to inform decision-making and enhance outcomes. Staff told us they regularly contributed to and reviewed assessments.

People were supported to live as independently and meaningfully as possible, with care and support coordinated and aligned with their personal goals.

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.

Staff were well-trained and demonstrated a strong understanding of best practice guidance, including national guidance recommended approaches, ensuring support was both clinically sound and person-centred. People were actively involved in shaping their care plans, with clear goals that reflect their preferences, strengths, and aspirations. The provider promoted people’s health and wellbeing through proactive collaboration with healthcare professionals, timely access to services, and consistent monitoring of outcomes.

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.

Through regular communication, shared care planning, and a culture of mutual respect, team members worked seamlessly across roles and disciplines to deliver holistic support. Information was shared effectively between shifts and services, so people never had to repeat their story. Transitions such as hospital discharge or changes in support were managed smoothly and safely.

We saw the provider had liaised with hospital departments to ensure discharge from a hospital safe. The provider always ensured a discharge meeting was held with all professionals in the person’s best interests.

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.

The provider demonstrated a proactive approach to promoting healthier lifestyles among people. People were encouraged to participate in physical activities such as Zumba and other forms of exercise, and were supported in managing their weight through balanced, nutritious diets.

Staff showed a clear understanding of the importance of timely medical intervention in response to changes in people’s health and well-being. One staff member explained, “We contact the GP to report any new symptoms or changes, and the GP will either conduct a home visit or arrange for the person to attend the surgery.”

Staff also accompanied people to community outpatient appointments, with comprehensive records of outcomes documented in each person’s care file.

Hospital passports were effectively used as communication tools to support continuity of care across different settings. These ensured external professionals were informed of each person’s immediate needs and how best to support them.

People had access to dental care, and dental passports were in place; these outlined the specific oral care requirements for each person and provided essential information for dental professionals to deliver appropriate support.

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.

Staff routinely assessed progress against people’s goals such as increased independence or improved communication, and support plans were adapted in response to changing needs. Regular audits, reflective practice sessions, and multidisciplinary reviews ensured learning was embedded and shared across the team. One staff member said, “[Registered manager] will hold reflective practice sessions where we can discuss what we can do better to support people.”

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

People’s capacity to make decisions was thoroughly assessed in line with the Mental Capacity Act 2005. Where a person was deemed to lack capacity, appropriate referrals were made to authorise a deprivation of liberty in their best interests, ensuring legal compliance and safeguarding their rights.

Staff were observed seeking consent before delivering personal care and support. In cases where people were unable to provide consent, care was delivered in accordance with documented best interest decisions.

Staff demonstrated a clear understanding that consent must be voluntary and can be withdrawn at any time. They described how, if a person declined support, such as personal care, staff would respect the person’s choice, allow time and space, and try again later, in a sensitive and respectful manner.

All staff received training to enhance their understanding of the Mental Capacity Act, Deprivation of Liberty Safeguards.