The Apuldram Centre

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 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. The registered manager told us robustly assessing a person’s needs and wishes before starting to support the person was key in providing the right support. We saw examples of assessments carried out which were then developed into support plans.

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.
Staff were trained and understood how to implement training in a practical way, which both met legislation and considered how people liked their support.
One person gave an example of how a staff member supported them overtime so they could manage their emotions. The staff member demonstrated a clear understanding of value based recognised approaches to supporting a person to manage difficult emotions.
 

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.
The registered manager gave examples of working well in teams both within the service, the wider organisation, family members and external professionals. When the staff and leaders had identified a need the person may have, that was outside of what they were delivering in the care package, they escalated this to the relevant agencies.
An external social care professionals remarked, “Communication is strong.”
 

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.
Some people were supported with meal planning and preparation. Staff consistently described supporting independence and empowering people to live healthier lives by listening to their needs, adapting care and ensuring they were responsive to people’s feedback. People confirmed this and one person added “They help me to appointments, the dentist and doctor and help me remember what they said.”
 

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 support records confirmed regular reviews were completed, and staff monitored people on a day-to-day basis. Where needed, referrals to healthcare professionals were made. People and their family members told us they were able to communicate with managers and staff and if any changes were made, they were fully involved in those decisions.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment.
People told us they had choice in their lives and were supported to make bigger decisions, explaining staff helped them understand the information they needed to make a choice. One person said, “They let me do my own choices.” Staff consistently demonstrated their awareness of people's right to make choices including when they may be deemed unwise. Staff had received training for the Mental Capacity Act and understood their responsibilities under this legislation.