Voyage (DCA) Rotherham

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 assessing and reviewing their health, care, wellbeing and communication needs with them. People’s care plans and risk assessments were detailed and reflected their individual needs, wishes and preferences. Assessments considered people’s health, communication, mobility and support needs, including the needs of people with a learning disability and autistic people. Hospital passports and communication passports were in place to help staff and other professionals understand how best to support people. Staff knew people well and understood their individualised needs.

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. People received care and support based on their individual needs and recognised good practice guidance. Care plans included clear guidance for staff on how to support people with their health, communication and daily living needs. Staff understood the needs of people with a learning disability and autistic people, including how to provide support suited to their abilities and preferences. The service worked closely with health and care professionals and used their guidance to support people’s care to achieve person-centred support which promoted people’s health and well-being.

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. Staff worked well together and with other health and care professionals to meet people’s individual needs. People received support from regular staff who worked within the same supported living settings. This helped staff build positive relationships with people, understand their needs and provide consistent care. We saw good evidence of information being shared between staff and professionals.

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 supported to improve their health, wellbeing and independence. We saw positive examples of staff helping people achieve goals important to them. For example, a person was supported to maintain a healthier diet by choosing nutritious meals and taking part in meal preparation. Another person’s verbal communication had improved significantly through staff encouraging them to communicate and develop new skills. During our observations, people were keen to share their activities, achievements and interests, and show how staff supported and encouraged them. This showed how staff understood people’s individual needs and supported them to make positive changes, develop their abilities and improve their quality of life.

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 monitored people’s health and wellbeing to identify changes in their needs and any risks to their safety. We saw examples of staff recognising and raising concerns promptly, monitoring identified risks and involving relevant health and care professionals when needed. This helped ensure people received timely support and reduced the risk of harm. Staff worked with professionals to review people’s needs and follow guidance, helping people achieve positive outcomes.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. People were supported to make decisions about their care and daily lives. Staff understood the importance of gaining consent and respecting people’s choices. Mental capacity assessments were detailed and specific to individual decisions, helping staff identify when people needed support to make choices. Staff understood people’s individual communication needs and used this knowledge to help people express their wishes and preferences. A staff member told us, “The people I support are given informed choices so consent is given freely and informed consent is sought on all occasions.”