The Tides

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 outstanding. 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 service made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them.

The service assessed people’s health, wellbeing, and communication needs before admission and reviewed these to keep care personalised and appropriate. Some people used non-verbal communication, and staff used their knowledge of people’s body language, facial expressions and vocalisation to understand them.

Communication plans were in place and included input from families and professionals. People were supported to communicate in their preferred way, including through speech, pictures or touch, and were treated with dignity and respect.

The service 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 were involved in developing and reviewing their care plans, so their support matched their needs and choices. Staff provided personalised care and worked with healthcare professionals to support people’s health and wellbeing.

Some people may need to spend time in hospital due to their health needs. Staff always accompanied them to help ensure their needs were understood and met. Policies, training, and supervision supported staff to provide safe and compassionate care.

The service 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 spoke positively about teamwork and supporting each other to provide good care. People were comfortable with familiar staff who knew them well. The service worked closely with health professionals and maintained regular communication through meetings, phone calls and emails.

Each person had a health information document to support safe hospital care. Staff worked with the multi-disciplinary team when people’s needs changed, including arranging referrals when extra support was needed. The service had good links with GP’s, dieticians, speech and language therapists, physiotherapists and occupational therapists.

The service supported people to manage their health and wellbeing to maximise their independence, choice and control. The service supported people to live healthier lives and where possible, reduce their future needs for care and support.

People had choice in how they spent their time and could access all areas of the service, including the garden. Staff supported people to develop skills and achieve personal goals. Activities provided meaningful experiences that supported health and wellbeing.

The service 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 supported to make choices in their daily routines. Care plans included personalised goals which were reviewed regularly to reflect changing needs. Regular audits and checks helped ensure care remained effective.

A relative said, “My loved one has the right support with their nutrition and hydration needs and I know it is closely monitored.’’

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

Where people lacked capacity to make certain decisions, the required assessments and legal authorisations were in place. Staff understood the principles of the Mental Capacity Act and supported people to make choices about their daily care. Care plans included people’s communication needs and preferences.

Where needed, staff worked with the multidisciplinary team to make best-interest decisions.