The Cherry Tree

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 71 (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 was effective by involving people in assessments and reviews of their care and support needs. This included supporting people to set long and short-term goals that they wanted to achieve. A board with pictures was used to visually display the goals that people were aiming to accomplish. This included supporting a person to recognise their emotions and express themselves. Staff were trained to use techniques of mirroring and modelling in the daily sessions being carried out to chat with the person about their emotions. This resulted in the person being able to better understand their emotions and relate to what he was feeling. People also had a folder with pictures and detailed descriptions of their achievements each month which were used to regularly review and monitor their progress.

We did not look at Delivering evidence-based care and treatment during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at How staff, teams and services work together during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at Supporting people to live healthier lives during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at Monitoring and improving outcomes during this assessment. The score for this quality statement is based on the previous rating for Effective.

The provider did not always tell people about their rights around consent and did not always respect their rights when delivering care and treatment. Records showed that mental capacity assessments were completed by the service to assess people’s capacity in the decision-making process. However, these assessments were not always time or decision specific. We also found that a mental capacity assessment was not undertaken to determine a person’s capacity to make a decision regarding their choice of healthy eating. This was discussed with the registered manager who immediately undertook a comprehensive review of their processes and guidance making sure the service supported individuals to make their own decisions wherever possible.

Staff applied the MCA in practice as necessary. People were provided with opportunities to make choices. Staff’s comments included, “We need to be very careful making sure we give [people] choices, respect their privacy and confidentiality. We follow what is written in their care plan and if we are not sure, we ask the manager for guidance. It's about the capacity to make their choices” and “If a person wants to make a decision, we make sure the person understands.” We observed staff asking people’s permission and consent for the visitors to visit their home.