Fairview

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 inspection we rated this key question good. At this inspection 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 service made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them. People, and those close to them, were actively involved in the development of their individual assessments and reviews of their care. Their views and opinions were respected, listened to and implemented by staff who knew them well. Staff understood people’s life histories which included good and less than good experiences. Care and support plans reflected these experiences in a way which did not dwell on negatives from people’s past but recorded them to help understand how people had progressed and what additional support could be needed.

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. For example, people had assessments associated with their mobility, eating and nutrition and medicines. When changes in people’s physical health were known or suspected staff acted promptly to arrange additional support to ensure their needs were met in a timely way.

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. People were supported by staff to attend appointments and assessments and encouraged their involvement and participation in the assessment. People had devised individual passports where their needs and preferences were recorded to minimise the potential for anxiety. We saw instances where appointments had been adapted to ensure the person received effective consultations in an environment more suited to their needs whilst removing potential anxieties.

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 were supported to access additional healthcare services when needed. Staff told us about instances where they had observed changes in people’s health. They felt this was because of having a consistent staff team who people knew well and with whom had developed relationships over time. Staff expressed it was these close working relationships which helped them identify and explore changes in people’s health. This helped people receive timely healthcare interventions.

The service routinely monitored people’s care and treatment to continuously improve it. They ensured outcomes were positive and consistent, and they met both clinical expectations and the expectations of people themselves. People were supported by staff who engaged healthcare professionals in reviews and assessments to ensure relevant information was incorporated into their care plans. People were engaged in identifying plans to improve specific skills of independent living, for example food preparation. People’s assessments were reviewed with them and the staff and leaders facilitated discussion to support seamless services between professionals.

The service told people about their rights around consent and respected these when delivering person-centred care and treatment. People were supported to make choices and decisions which impacted on their lives. One relative told us their family member used to really struggle with choice but with the support of staff this had improved although there was still some progress to make. When they were not able to do so, relatives were involved as part of the best interest decision making process. We saw instances where people needed additional support with more life impacting decisions. The providers policies and procedures supported best practice in these instances.