Bolton Supported Living

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 supportachieved 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.

Assessments of people’s care were undertaken when they first began using Bolton Supported Living and people were involved with these if they were able to. One relative said, “The transition was all done very quickly and Bolton Supported Living helped me so much.”

Monthly reviews of care plans were undertaken and relatives said they were part of this process. One relative told us, “I am involved yes, and I go to the meetings. The care plan is ok, (person) has put a bit of weight on lately so we need to get her exercising so (person) was looking into going to some classes. This was all discussed with me.”

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.

The service worked in partnership with other professionals such as GP's and dietitians to support people to access healthcare when they needed it. People had hospital passports in place which provided an overview of their health requirements and could be used when admitted to hospital.

The management team and staff demonstrated how when a person's needs had changed, they had promptly engaged with several services to ensure the person's needs were fully met and understood. For example, where people’s mobility needs had deteriorated, specialist equipment had been sourced to ensure safe moving and handling procedures were used.

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.

The service worked in partnership with other professionals such as GP's and dietitians to support people to access healthcare when they needed it. People had hospital passports in place which provided an overview of their health requirements and could be used when admitted to hospital.

The management team and staff demonstrated how when a person's needs had changed, they had promptly engaged with several services to ensure the person's needs were fully met and understood. For example, where people’s mobility needs had deteriorated, specialist equipment had been sourced to ensure safe moving and handling procedures were used.

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 who used the service and relatives said staff always provided support with attending medical appointments where required. One person said, “They support me if I need it, so I can understand what’s been said. I just ask and someone will come with me.” A relative added, “Yes they do take (person). If (person) is unhappy to go in they get somebody out to visit at home.”

People were supported to access health promoting activities in the community such as walking, swimming and visiting the gym. When visiting supported living houses, we saw fresh fruit was available for people if this was what they wanted to eat. People were also encouraged to eat healthier diets and reduce sugar intake where possible.

Staff supported people with oral hygiene as needed, although some people were independent in this area. We found the recording of when people received support to clean their teeth varied throughout the supported living houses we visited, as it wasn’t always clearly documented where staff had provided assistance. We provided this feedback to the registered manager who said they would look at ways to make this more consistent.

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

People had capacity and consent support plans in place which provided information about their decision-making abilities. Staff understood about the Mental Capacity Act (MCA) and deprivation of liberty safeguards (DoLS) and what the legislation entailed.

Assessments of people’s capacity were completed if people were unable to make their own choices. We saw family members were involved in this process to ensure decisions were taken in people’s best interest. DoLS applications were submitted to the local authority as required.

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

People had capacity and consent support plans in place which provided information about their decision-making abilities. Staff understood about the Mental Capacity Act (MCA) and deprivation of liberty safeguards (DoLS) and what the legislation entailed.

Assessments of people’s capacity were completed if people were unable to make their own choices. We saw family members were involved in this process to ensure decisions were taken in people’s best interest. DoLS applications were submitted to the local authority as required.