Glebe Villa

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.

People’s needs were assessed before they received a service. This was comprehensive and involved the person, their representative and health and social care professionals.

The assessment informed the person’s care and support plan. People’s communication needs were assessed and met to maximise the effectiveness of their care and treatment. A member of staff told us people’s care plans gave them sufficient information to support them safely and in a person-centred way.

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.

People’s care met the expectations outlined in the ‘Right support, right care, right culture’ guidelines in relation to supporting people with a learning disability and autistic people. People had individual care plans tailored to their needs, had access to the local community. People had access to public transport enabling them to access the local area and further afield. There was an inclusive atmosphere in the home, where people were involved and consulted about how they wanted to live and supported to do the things that were important to them.

National recognised tools were used to assess and plan people’s care. People using the service had their nutritional needs assessed where appropriate. Information about people's preferred foods and drinks, food allergies, likes and dislikes were recorded.

Some people had a positive behaviour support (PBS) care plan. A PBS is a person-centred framework used to understand, prevent, and manage situations when people were in distress by focusing on an individual's needs. Other health care professionals had been involved in developing these care plans including psychologists and the dementia wellbeing team.

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.

Feedback from professionals was positive in how the service planned and delivered care. Comments included, “Going well, we have regular contact with the manager or the deputy and meet weekly to discuss any health concerns,” and “They keep us updated and provide information when requested.”

Professionals told us the staff, and the manager knew people well and consulted regularly with them. This included the community learning disability team, dementia wellbeing team and mental health services.

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 supported to attend appointments with health care professionals including regular checks up with the opticians, dentist and a podiatrist. Clear records were kept of all health care appointments and any follow ups.

Information about people's preferred food, drink, food allergies, likes and dislikes were recorded. People participated in menu planning and were offered choices on a daily basis. People told us that if they did not like what was being offered, they could have an alternative.

Individual records were maintained in relation to food intake so that people could be monitored appropriately. People were weighed monthly and any concerns in relation to weight loss were promptly discussed with the GP and other health professionals.

People were supported to take part in different activities in the home and the community. This included gentle exercises and going for regular walks. This promoted people’s wellbeing.

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 were allocated a keyworker. This enabled people opportunities to build a relationship with a named member of staff and help them plan what they would like to do. A person told us they had been on holiday with their keyworker in the summer. Care plans were reviewed monthly to ensure they were current and reflected the support needs of the person.

Staff had daily handover meetings to discuss important changes and to ensure continuity of care for people. Staff confirmed they could access people’s care records and used the information to provide care that was person centred and based on their wishes.

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

Staff knew and understood the importance to seek consent and had followed the Mental Capacity Act (MCA) when people did not have capacity to make decisions for themselves. This included involving the people closest to them and health and social care professionals to make sure decisions were made in their best interest. Best interest decisions were clearly recorded including who was involved.

Guidelines on mental capacity and the five principles were clearly displayed on a notice board for both staff and people living in Glebe Villa to access. This ensured people were aware of their rights.