Autism Support and Care Also known as Jubilee Court

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.

This is the first assessment for this service. This key question has been rated 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 the person’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them.

The registered manager carried out a detailed assessment of the person’s needs prior to move in, to ensure they were well suited to the physical environment as well as considering compatibility with other people who lived at the service. We saw assessments were detailed and captured the person’s wishes and needs, capacity, communication, and things that were important to them, for example, personal relationships.

The person’s history was included in care plans which had been gathered from the person and professionals. This provided a holistic view of the person including any exposure to trauma to ensure it was considered in all their care planning.

The provider planned and delivered the person’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.

The person was supported to safely navigate relationships with others and encouraged to broaden their social network through community activities. Staff encouraged the person to engage in activities that were meaningful to them. Staff recorded daily notes which provided clear information on the persons activities, welfare and presentation, and engagement which supported with providing an overview of the persons day to day life and made it possible to identify any themes.

Care plans contained detailed information on how best to support the person to ensure what was important and what mattered to them was included in their day-to-day support and they had autonomy to exercise choice as far as possible. The registered manager told us, “[Name] attends day service. We supported them to try another day service previously but found the person didn’t identify with the peer group and prefers the one they now attend.”

The provider worked well across teams and services to support the person. They appropriately shared information when the person was supported by different services.

We reviewed records which evidenced effective engagement with external professionals to support positive outcomes for the person and gain the correct care and support. This included working closely with social workers and an advocate to ensure the person’s voice was heard during meetings and when decisions were discussed that affected their life.

The provider supported the person to manage their health and wellbeing to maximise their independence, choice and control. Staff supported the person to live a healthier life and where possible, reduce their future needs for care and support.

The person was supported to access the GP, dental services, opticians as well as specialist services for example, specialist nurse support for the person’s health needs and speech and language therapists.

Staff were knowledgeable and support plans contained detailed information on the person’s specific health needs, which included physical and emotional wellbeing.

The registered manager spoke with us about how the person was supported to lead a healthier lifestyle and the barriers to this which included past experience. They supported the person with cooking to encourage healthier meal options, they said, “We encourage them to batch cook so they will eat [more balanced meals] but if they don’t want to, they have got ready meals which ensures they eat.”

The provider routinely monitored the person’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 the person themself.

We saw examples of the registered manager monitoring the person’s care and treatment through the review of records and things that had been implemented to support with improved outcomes. Goals for the person were identified through discussion with them, this included goals that, whilst they were not attainable at this time, they were something the person could work towards in the future. The registered manager said, “There is nothing they have ever said we can’t do and can’t achieve; we will find a way.” This drive to support the person with positive outcomes was echoed by staff feedback and in the way they engaged with them. This meant setting goals with person and supporting them to reach these goals was an embedded way of working promoting positive outcomes.

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

We saw capacity to consent was considered through documentation in support plans and staff had a clear understanding of capacity and consent. Staff sought the person’s consent before entering their home or carrying out any care and support.

Observation of staff engagement with the person showed they communicated with them using their preferred communication method, supported their choices, and where the person lacked capacity, t the right people were involved in decision making so that it was in line with the person’s wishes as far as possible and made in their best interests and within a legal framework in line with the Mental Capacity Act 2005.