Helena Road

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. This is the first assessment for this newly registered service. This key question has been rated 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 and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them.

Care plans were in place for people. These were person-centred, based around the individual needs of people. People and their relatives had been involved in developing their care plans to help ensure they reflected what was important to the person. They covered areas including personal care, equality and diversity and social activities. They were subject to regular review. The registered manager told us, “Every 6 months we review, of if there is a change before then.” This meant they were able to reflect people’s needs as they changed over time.

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 was able to provide evidence-based care and treatment. Policies were in line with national good practice and care was given in a person-centred way, in line with the person’s wishes, and people were involved in their assessment of need. The provider also worked within the framework of current legislation, such as the Health and Social Care Act 2008 and the Equalities Act 2010.
 

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.

There was good collaborative working between the service and other relevant parties. The staff had a good understanding of people’s needs and people and relatives were involved in planning their care. The service worked well with local authorities and health care professionals to help ensure people’s care needs were met. Regular staff team meetings were held which included discussions about how best to support people.

The provider did not always support people to manage their health and wellbeing, so people could not always maximise their independence, choice and control. Staff did not always support people to live healthier lives, or where possible, reduce their future needs for care and support.

For the most part the service was good at promoting people’s health care needs and supporting them to live healthier lives. People had access to various medical professionals including GPs, dentists, opticians and learning disability services. On the second day of inspection a person was supported to attend hospital for a minor medical procedure. Hospital Passports were in place setting out the support people would need in the event of them being admitted to hospital. However, although Health Action Plans were in place for people, these were very basic and did not provide person-centred information about how to promote people’s health needs. We discussed this with the registered manager who told us they would address this issue.

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 care was monitored to ensure needs were being met. Care plans and risk assessments were reviewed to help ensure they still reflected people’s needs. Daily notes were taken to demonstrate care was delivered in line with assessed needs. People had health check-ups with GPs and dentists to monitor their health.

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

People were supported to consent to their care as much as possible. Staff sought consent before providing support with personal care. A member of staff said, “At all times I ask their permission [to provide support with personal care] when I am in their bedroom.” People confirmed they were asked about their care. Where people lacked consent, a mental capacity assessment had been carried out and best interest decisions made. For example, in relation to managing people’s financing and administering medicines.