13B

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.This is the first assessment for this newly registered service. This key question has been rated 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.Assessments were completed before people started using the service. This helped to ensure people received the support they both needed and chose. Care plans and risk assessments were developed with the person and their relatives to reflect the required support. This support was regularly reviewed to ensure it continued to meet the person’s needs and choices.
 

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 knew people well and monitored them throughout the day. Records showed the use of nationally recognised tools for example the Waterlow score for assessing people’s risk of pressure damage. Staff received regular training and updates to help ensure they understood the current standards of care to support people effectively. Staff also received specific training in relation to people’s individual health needs.The director and registered manager told us about their use of a secure artificial intelligence (AI) tool to identify how they could support a person to help them meet their health needs and reduce their risk of falling. They told us the AI tool had identified measures which they had implemented. This had resulted in improvements to the persons health and since these improvements the person had not experienced any further falls.
 

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.People received support from one live-in staff member and a second staff member who would cover for any absences such as annual leave. The registered manager met with people and staff weekly. Care records detailed people’s needs and choices. This meant that that each person’s staff team had a good understanding of people’s needs.
Where people required support from external health and social care, they were supported by staff if this was the person’s choice. Staff followed specialist advice and professional guidance was included in care plans.
 

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.Staff supported people to remain independent and make choices about their daily lives. This helped to promote people’s overall wellbeing. Support from staff enabled people to maintain a healthy lifestyle by promoting mobility and community connections. This had a positive impact on emotional wellbeing and reduced isolation.
 

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.Care plans were regularly reviewed with people to ensure their individual outcomes were met. Staff supported people to maintain their own health and wellbeing where able to, for example, ensuring people had taken their prescribed medicines and prompting them to completed exercises prescribed by physiotherapists.The provider had a strong focus on supporting people to improve all aspects of their lives. They had regular contact with health professionals such as GPs, district nurses, social workers and reablement teams to support people improve their outcomes.
 

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

The Mental Capacity Act 2005 (MCA) provides a legal framework for making particular decisions on behalf of people who may lack the mental capacity to do so for themselves. The MCA requires that, as far as possible, people make their own decisions and are helped to do so when needed. When they lack mental capacity to take particular decisions, any made on their behalf must be in their best interests and as least restrictive as possible.
Where people required the support of a legal representative to make decisions, this had been reflected within care records and copies of appropriate information held on file.
Staff had undertaken Mental Capacity training and applied this to their practice. Care records included Mental Capacity Assessments and care records demonstrated people were supported to make their own decisions and choices. There was information in a care plan about a person who may make, what could be considered, ‘unwise decisions’. Information reminded staff how to support the person without putting across their own opinions.