Yorhealth (Supported Living) Ltd - Midlands

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 requires improvement. At this assessment the rating has changed to 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. There was a system in place to ensure people had their needs assessed and care plans put in place. Relatives told us they were aware of the assessments and care plans in place. A relative said, “There is a care plan. It is reviewed from time to time.” The provider carried out an initial assessment and used the information for the initial referral to check they could meet people’s needs. The provider told us care plans are put in place and the service operate a transition into the service over a period of weeks reviewing the care plan. Staff told us they had access to an electronic system and paper version of peoples care plans which guided the support people received and this was in place from the point people were admitted to the service. Records we saw supported what we were told.

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. A relative told us, “[Person’s name] is under a dietician, and the staff follow the guidelines. They keep an eye on their weight.” Staff told us they followed the advice of specialists, for example with dietary needs they sought the input from a dietician to support a person to have a healthy diet and reduce their weight. The provider told us they used a range of tools to provide people with support which included positive behaviour support plans and hospital passports. We saw people had individual support plans in place which made use of evidence-based good practice to support people effectively, which staff were able to describe to us.

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 were supported by staff who worked collaboratively to meet their needs. A relative told us, “There are 3 shifts of staff. There is always a good handover. They have a folder to write down medicines, meals etc. I am confident everyone knows what is going on.” Staff told us they felt the handover and communication systems in place kept them fully informed about people’s needs. The provider told us they used a verbal handover, and this was documented to show key information about people at the start of every shift. Records we saw were detailed and gave a good overview of the day people had and what care they had received. Partners told us the provider proactively engaged with other agencies participating in multiagency meetings and collaborated constructively with other teams demonstrating openness and a willingness to support people through joint working.

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 had support to maintain and improve their health and wellbeing. A relative told us, “The staff are very good at contacting the doctor if [person’s name] is unwell. They are not always able to be specific about what is wrong, and the staff are good at ensuring the doctor comes out to do a visit at home.” Staff could give examples of how they supported people to manage their health needs. The provider assessed health needs and included information in peoples support plans about how to manage specific health conditions. Partners told us the provider worked to promote healthy lifestyles and supports individuals in maintaining their overall wellbeing. They told us the provider worked with health professionals and encouraged people to engage in activities that benefited their physical and mental health.

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. People had reviews of their care and support on a regular basis. Relatives were aware of and involved in the reviews of peoples care plans. Staff told us they were made aware of any changes to people’s needs and had updates when care plans changed. Records showed care plans were reviewed when things changed and updated to reflect people’s needs. The provider shared examples of improved outcomes people had experienced since transitioning to the service. For example, one person experienced a reduction in distress and anxiety and was now able to engage better with staff. Another person had reduced anxiety which relatives had attributed to the continuity of the staff team.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. People’s rights were protected and had their consent sought for care and support to be delivered. A relative told us, “The staff talk to [person’s name] all the time, explaining what they are doing, such as, we are going help you get dressed now.” Staff understood how to seek consent from people and could describe how they supported people to make their own decisions. The provider had ensured staff received training and there were systems in place to assess people’s capacity to make individual decisions. People had individual mental capacity assessments and best interest decisions in place when they lacked capacity to make decisions included in their care plans.