L'Arche Bognor Regis

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 ensured people received effective care and support based on comprehensive assessments of their needs, in line with the principles of ‘Right Support, Right Care, Right Culture’ best practice guidance. Assessments considered people’s strengths, levels of independence and communication needs. Protected characteristics, cultural needs, and personal preferences were considered to make sure support would be tailored appropriately.

Information from assessments was used to develop person-centred care plans that focused on what mattered to people and supported them to achieve their individual goals. People and those important to them were actively involved in the assessment and planning process to ensure care reflected people’s wishes and promoted choice, dignity, and independence.

The provider planned and delivered people’s care and treatment in partnership with them, focusing on what was important and what mattered to each person. Care was delivered in line with legislation and current evidence-based good practice and standards.

Care records and support plans were joined up, with daily interactions recorded and linked to people’s goals. This demonstrated how staff supported people in line with their assessed needs and provided effective oversight, monitoring, and clear evidence of progress.

The provider worked effectively across teams and services to support people. Staff sought advice from relevant professionals and made referrals for specialist input when needed. Care records evidenced this joined-up approach, and people told us about the different health and social care professionals involved in their care.

Information about people was shared appropriately and efficiently. Changes to care and treatment plans were communicated through handovers, team meetings, and updates in care records. Staffing rotas were planned flexibly to meet people’s needs and ensure continuity of care.

The provider supported people to manage their health and wellbeing, helping them to maximise independence, choice, and control. Staff encouraged people to live healthier lives and, where possible, reduce their future need for care and support.

People had good access to healthcare and regular opportunities to discuss changes in their health and care. Where people needed support to attend or make medical appointments staff were available to provide this. For example, staff recently arranged for a person’s planned medical appointment to be brought forward in response to increasing pain. The person told us, “I will be glad to get them sorted.” We also observed a person shopping and making healthier food choices, removing 2 packets of crisps from their basket. They said, “I am on a diet, I don’t need them.”

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive, consistent, and aligned with people’s individual expectations. Effective systems were in place to monitor, assess, and adjust support where needed.

People participated in reviews about their care. Keyworker meetings and care reviews were tailored to people’s abilities and wishes, ensuring their views were heard. A person told us. “I know who my keyworker is, and they help me.”

People’s care plans recorded their personal goals and the steps required to achieve them. A person told us about their wishes and aspirations for the future and described the support they were receiving to help them work towards these. Staff supported the person to understand that the changes they were aiming for were not going to happen immediately and collaborated with them on a realistic timeline, providing reassurance and prompts as needed.

The provider informed people about their rights regarding consent and respected these when delivering person-centred care and treatment. Staff demonstrated knowledge of the Mental Capacity Act 2005 (MCA) and upheld people’s rights under the Act.

At the time of assessment, people receiving support had the capacity to make decisions about their care. No one was subject to deprivation of liberty, and restrictive practices were not in place. Staff collaborated with people and relevant professionals to ensure decisions reflected individuals’ wishes and feelings.