St Elmos

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. Care plans were clear and detailed with people’s specific needs. Positive behaviour support plans were also in place, these included a detailed history of the person, triggers and early warning signs for staff to be aware of a person becoming agitated and how to support them in a person-centred way. Relatives told us they were involved in reviews.

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 included the principles of Right Support, Right Care and Right Culture. People were supported to have choice and control over their lives and participate in their local community. The provider ensured routine health checks and medication reviews took place, this meant people’s health needs were monitored and responded to promptly. During our inspection we observed staff engaging in a caring manner with people. People were encouraged to join in activities in the communal areas, timetables were visible in the communal lounge for evening activities if people wished to participate. We found that nutrition and fluid needs were met. One relative said, “[family member] has a food planner and balanced diet.”

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. Each person had a hospital passport in place that was updated regularly in the event that they needed to attend another health care setting such as a hospital. One healthcare professional said, “I find the staff very helpful. The staff are indeed available to assist when I visit. Any recommendations I have made have been observed by the staff.”

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 involved in menu planning and supported to purchase their food items in the local community by staff. Staff encouraged people to explore healthy food choices. One relative told us, “Fridge and freezer are always well stocked.”

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. Where appropriate, staff maintained accurate monitoring records, including dietary intake and behavioural observations. This supported the ongoing assessment of people’s needs, enabling staff to identify changes promptly and adapt care to improve outcomes.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. People confirmed that they were given choices and asked what they would like to do. We found that mental capacity assessments had been completed in individual areas of people’s lives. These were reviewed regularly.