The YOU Trust

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.

A professional told us, “They take time to truly understand each individual’s needs and tailor their support accordingly, often thinking creatively and “outside the box” to achieve positive outcomes”.

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.

Staff provided therapeutic support, tailored to individual needs. It focused on helping people adopt safe behaviours while reducing those that could cause harm, enabling people to express their needs more effectively and confidently. For example, a person who was frustrated was supported to learn a form of sign language and use their iPad to communicate and effectively express their needs and wishes. This led to them being able to self-regulate their emotions and express their self safely, increased their self confidence.

The service 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 had consistent approaches to supporting people because they followed people’s support plans, which contained details of their goals and aspirations with clear guidance about the support people needed to achieve these.

Staff collaborated and enabled people to take part in meaningful activities and increase their access to the community. For example, several people were no longer able to attend day services, so the provider held regular events and social gatherings to enable people to maintain friendships and prevent social isolation. A person told us, “Our regular coffee mornings and parties are really important, I can see my friends and have a good time.”

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.

Some people using the service had multiple health needs. Information about people’s health needs and how these should be managed was clearly documented in their support plans. Staff remained professionally curious when subtle or fluctuating changes occurred. For example, when a person was becoming less active and sleeping more frequently, staff supported them to attend their GP. This enabled them to receive timely medical support from specialists and maintain a good quality of life with a chronic condition.

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’s life experiences, skills and strengths were discussed with them on a regular basis. This approach enabled people to understand the steps needed to achieve their goals and take ownership. Support plans focused on what people could do, rather than on perceived barriers, which helped maintain both physical and mental wellbeing. This led to increased self-confidence, greater independence, and an improved quality of life.

A professional told us, “The YOU Trust supports individuals to achieve meaningful outcomes. They set realistic, achievable goals that are tailored to each person’s needs and abilities, which contributes to positive progress”.

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

Staff followed the principles of the Mental Capacity Act 2005 (MCA). The MCA provides a legal framework for making particular decisions on behalf of people who may lack the mental capacity to do so for themselves. The Act requires that as far as possible people make their own decisions and are helped to do so when needed. When they lack mental capacity to take particular decisions, any decisions made on their behalf must be in their best interests and as least restrictive as possible. We found assessments of people's capacity had been completed when needed. Records showed where people lacked capacity, decisions made on their behalf were made in line with the MCA.

People and their families told us that staff sought consent before providing care or support.