Edwardian

On this page

• Overview
• Person-centred Care
• Care provision, Integration and continuity
• Providing Information
• Listening to and involving people
• Equity in access
• Equity in experiences and outcomes
• Planning for the future

Responsive – this means we looked for evidence that the provider met people’s needs.

At our last assessment we rated this key question good. This meant people’s needs were met through good organisation and delivery.

We assessed a limited number of quality statements in the responsive key question and found areas of good practice. The scores for these areas have been combined with scores based on the rating from the last inspection. At this assessment the rating has remained good.

This service scored 79 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

We did not look at Person-centred Care during this assessment. The score for this quality statement is based on the previous rating for Responsive.

We did not look at Care provision, Integration and continuity during this assessment. The score for this quality statement is based on the previous rating for Responsive.

We did not look at Providing Information during this assessment. The score for this quality statement is based on the previous rating for Responsive.

The provider was exceptional at enabling people to share feedback and ideas, or raise complaints about their care, treatment and support. Staff always involved people in decisions about their care and told them what had changed as a result.

Co-production was embedded throughout all aspects of the service; in care planning, activities development, planning and delivery, meal planning, social activity planning, upkeep of the garden and even choices relating to refurbishments.

Co-production was not just recorded it was being lived wholeheartedly and was observed by inspectors. The service fully lived up to the principles of Right Support, Right Care, Right Culture, focusing on people’s strengths and promoting what they can do but also meeting their dreams and ambitions.

We observed an informal meeting involving most people living at the service, while they had a meal. The conversation was natural, inclusive and positive with everyone having an opportunity to speak without staff needing to control the conversation. The Registered Manager told us it was the first time a newer person had spoken in the group. The person’s happiness was genuine and underlined how much the culture of the service listened to and involved people, encouraging participation for all.

Language observed between staff and people living at the service was always appropriate. Evidence from care plans demonstrated people’s communication preferences were recorded and changes to preferences noted when these were discussed.

A person told us: “I can talk to staff whenever I am not sure what I can do, it doesn’t matter what it is, I can chat to them about anything. I trust them to give me good advice.”

We did not look at Equity in access during this assessment. The score for this quality statement is based on the previous rating for Responsive.

Staff and leaders were innovative in how they listened to information about people who are most likely to experience inequality in experience or outcomes. Staff and leaders actively used this information to provide exceptionally tailored care, support and treatment in response to this.

The provider worked with every individual and partner agencies to ensure any inequalities or barriers faced by people with a learning disability or mental health diagnosis were overcome. Staff were able to demonstrate how they advocated for people, following their involvement and consent, and ensured adjustments were made; for example, by discussing someone’s participation in a volunteering opportunity, without overstepping boundaries and enabling people to speak for themselves. This approach in empowering people and building confidence was

Staff and leaders were innovative in how they listened to information about people who are most likely to experience inequality in experience or outcomes. Staff and leaders actively used this information to provide exceptionally tailored care, support and treatment in response to this.

The provider worked with every individual and partner agencies to ensure any inequalities or barriers faced by people with a learning disability or mental health diagnosis were overcome. Staff were able to demonstrate how they advocated for people, following their involvement and consent, and ensured adjustments were made; for example, by discussing someone’s participation in a volunteering opportunity, without overstepping boundaries and enabling people to speak for themselves. This approach in empowering people and building confidence was recognised by people at the service as something they appreciated as it made them feel better about themselves, helped them to learn and to experience new things.

Individual support was provided to suit everyone with a recognition that needs would change over time, so the staff held 1 to 1 meetings with people as a minimum monthly to co-produce adjustments to care plans.

Such interventions took place in a very natural manner, people knew what to expect, understood they were involved, so participated with confidence they would be treated as an individual.

A person told us: “The staff help me to work things out and decide what to do.”

A relative said: “Sometimes I am surprised by the progress [my relative] has made.”

We did not look at Planning for the future during this assessment. The score for this quality statement is based on the previous rating for Responsive.