Creative Support - North Lincolnshire Services

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.People’s needs had been assessed, and care plans were in place which reflected people’s care and treatment. Staff recorded the care they provided to people. However, the quality of the daily note records needed to improve. For example, daily note records had inconsistent amount of detail and were often task based. Staff did not record all care tasks within the daily notes but did have supplementary paper records that provided assurance that people’s needs were being met. Internal audits had already highlighted these concerns, and an action plan of improvement was in place, overseen by the registered manager. Regular reviews were taking place of people’s care which involved people and their families.

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 got to know people well and efforts had been made to understand what was important to them. Current legislation was considered when providing care and best practice standards were evidenced within the care records.People’s nutrition and hydration needs were met. People worked with staff to explore healthy diets. Staff monitored people’s wellbeing and encouraged healthy choices.

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.Systems were in place to ensure information about people was shared appropriately with other services when needed. The registered manager worked well with other services to promote a good working relationship. One professional who worked with the service told us, “Communication is clear, proactive and well-coordinated, ensuring that relevant professionals, family members and key people are informed as needed.” Staff worked well together and completed handovers to ensure updates on people’s health and wellbeing were clear.

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.The registered manager and staff were passionate about ensuring people had independence, choice and control of their lives. Staff worked with people to get to know them, building a good relationship of support so people felt comfortable discussing their needs. Staff monitored people’s wellbeing and contacted external agencies for advice if needed. People were supported to access health services as independently as possible, and families were updated when needed. One family member said, “[Person] had a doctor’s appointment yesterday and they let me know the outcome straight away.”

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 care and health was monitored by the staff who knew when to escalate concerns. Staff worked well with people to help increase their independence. One staff member said, “We are good at supporting people and to help them be independent.”

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment.Consent to care was recorded. Staff were trained in the principles of the MCA and knew their legal obligations if a person needed to be deprived of their liberty. Records included assessments of people’s capacity, and best interest decisions where required.