Chy-An-Towans

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 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 detailed and had been regularly reviewed to help ensure they remained accurate. These contained information about people’s health needs, communication preferences and emotional wellbeing. People, or their representatives, were involved in care planning reviews. Relatives’ comments included, “We usually have a meeting twice a year and go through the care plan” and “I’m involved with everything and have copies of a care plan including doing reviews [online]. [Name] is usually present there as well, which is great.”

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.

Guidance from external professionals such as speech and language teams had been incorporated into care plans. Staff were aware of any guidance from other professionals.
People’s nutritional and hydration needs were considered. People were supported to eat and drink enough to maintain their health and wellbeing. A relative told us, “[Name] has problems eating, particularly with swallowing, and it has to be prepared.”
 

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.

Staff shared information appropriately via handovers, daily notes and a diary. Team meetings were used to discuss areas for improvement and individuals’ needs. Staff told us they communicated well as a team. Comments included, “Colleagues are all supportive of each other, we have a good team and it’s a nice place to work” and “We also have a very supportive staff team, led by [registered manager and deputy manager]. Both regularly check in with the staff to ensure they are physically and mentally well, they are also no strangers to coming out of the office and supporting care staff, when it is required.”
The service worked with other agencies to help ensure people received consistent care which met their needs. A relative told us, “The manager from the day centre was at [Name’s] care review so they’re working together with the service.” An external professional commented, “Communication has been professional and timely, helping to ensure that people receive appropriate support when required.”

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.

Staff supported people to eat well and take part in regular exercise while respecting people’s rights to make their own decisions. People attended regular health and medicines reviews. Records showed one person had recently missed a health appointment. The registered manager had taken action to help ensure this did not happen again.

The provider did not always routinely monitor people’s care and treatment to continuously improve it. They did not always ensure that outcomes were positive and consistent.

People did not have clear progression plans setting out how they would be supported to develop skills, increase independence or achieve their personal goals. However, staff were clearly aware of what people wanted to achieve and how they could support them to do this. When people were planning a holiday or event they were involved in preparations. The registered manager told us they would ensure this was more accurately recorded going forward.

When necessary, people’s health was monitored. Staff were alert to any changes in people’s health. Any areas of concern were escalated promptly to help ensure people received appropriate care and support.

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

People were asked for their consent before care was provided. We heard staff talking to people about day-to-day decisions and supporting them to make informed choices. A relative commented, “Staff talk to [Name] to help them make sensible choices and take the time to explain.”

When people were unable to verbally communicate their choices, staff used agreed communication techniques to make sure people were able to express their wishes.