Nurtrio

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.

People's needs were assessed at the point they began using the service. This assessment covered their support requirements, personal preferences, and individual likes and dislikes. The registered manager explained that the decision-making process also took into account the needs of people already receiving support within the supported living service. This included considering whether a potential new tenant would be a suitable and compatible fit alongside others living in the accommodation, taking into account shared spaces, individual support needs, and promoting positive and person-centred living arrangements.

Care plans and risk assessments were reviewed on a regular basis, and people using the service and their relatives confirmed they were involved in both the assessment and review processes. However, some care plans and risk assessments did not consistently reflect the care being delivered in practice. We raised this with the registered manager, who acknowledged this and explained that the service was in the process of transitioning to electronic care records. The registered manager confirmed that these records would be updated to ensure they accurately reflected current practice.

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.

The provider followed best‑practice guidance when assessing people’s needs. Staff demonstrated an understanding of people and clearly explained how they delivered personalised care and support. Care records also showed active involvement from GPs, district nurses, occupational therapists, and other healthcare professionals in planning and reviewing people’s care.

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 safe and well‑coordinated care because staff worked closely together and communicated effectively. Regular reviews, welfare visits, team meetings and daily handovers helped make sure important information about people’s needs was shared clearly, so everyone involved understood how best to support them.

When needed, staff asked for advice from specialists to ensure people were given the right care and treatment for their individual circumstances.

Staff knew the people they supported well and understood what mattered to them. They were able to explain how good communication and teamwork helped people receive consistent, personalised care. One staff member told us, "The communication between staff is really good, we are always kept up to date with any changes to people or the service."

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 maintain a healthy lifestyle. Staff promoted good care practices into day-to-day support and care planning. Staff worked with people in a person-centred manner, recognising their needs, preferences, cultural considerations, and health conditions when promoting wellbeing.

People were supported to access and engage with weight management and weight loss programmes where this has been identified as a goal. This included staff providing encouragement, regular monitoring, and working in partnership with healthcare professionals such as GPs and dietitians.

Staff promoted healthy eating by supporting people to make informed choices about their diet. This included assistance with menu planning, shopping, and meal preparation, as well as education around balanced nutrition and portion control.

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 were encouraged by staff to work towards goals that improved health and quality of life. Staff reviewed care plans often with people and updated goals together. They promoted skill development and independence at a pace that suited each person. For example, managing their own finances and medicines.

The provider and management team gathered feedback and used it to improve care and support. Staff worked closely with health and social care professionals, when needed. Records showed a focus on improving people’s wellbeing and progress towards agreed goals.

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

People were supported to make informed choices. Information was available in different formats to support people in making choices and decisions. For example, the provider ensured easy read information sheets were available when people needed extra support to understand options.

Staff involved relatives or advocates when people wanted help with decisions. The provider recognised when people required additional support to make decisions and followed the Mental Capacity Act correctly. Staff made best interest decisions with the right people and always considered the person’s wishes.