Green Lanes Projects Limited

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

People told us their care needs and personal preferences were discussed with them.

Staff told us people were offered choice and spoke of the importance of communicating with people who know the person well, “We work in partnership with the families of the people we support. This is a significant advantage for us, as families often share insights about historical risks and how they have managed these in the past, especially for individuals who are non-verbal.”

Evidence-based care was significant in the service’s policies and procedures. People’s support plans were updated when their needs changed, staff told us this was communicated to them through handovers, team meetings and the providers electronic system so they were confident they had access to the most up to date information when supporting people using the service. We reviewed meeting minutes which confirmed this and saw feedback from relatives which praised staff for effective communication.
 

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 told us their care and support needs were assessed, reviewed, and updated as required. A person confirmed, “Staff know what I need, and they are here to help me do it.”

Records accurately reflected the care people were receiving. For example, there were protocols available at a person’s property directing staff how to respond to the person’s health conditions; these included up to date guidance from health and social care professionals. Support plans had been updated to reflect any changes to the person’s care and treatment.
 

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.

Green Lanes Projects Limited supported people to access education, volunteering and employment. People told us, “My support staff make sure I’m up on time to get to college so I can get my certificate.” A relative stated, “The staff are brilliant, they’ve set up routines so my loved one can access activities and holidays even on tricky days.”

Staff told us the information they had for people was accessible to them through the provider’s electronic recording system. Each household had accessible information for people and staff directing them what action to take should there be an adverse event, such as a person being unwell.

The registered manager was confident about the provider’s policies, and checked staff understanding of these during their induction to ensure new starters were supported to familiarise themselves with the expectations of the provider. The registered manager also was confident in appropriate ways to share information with external partners.
 

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's support plans outlined their food and drink preferences. Support plans identified the level of support people needed from staff to prevent malnutrition and dehydration, people were involved in meal planning and the benefits of healthy food choices was a topic of conversation with staff and people. Staff encouraged people to participate in preparing and cooking their own meals. One person proudly told us, “My staff take me to my slimming club, I wouldn’t have lost all this weight without them. More than two stone! We are doing it together, being fit and healthy and strong.” Where necessary, referrals to health services had been made to support people in maintaining a healthy lifestyle.
 

People consistently experienced positive outcomes. Staff worked with them to set goals reflecting what they wanted from their care. The service routinely monitored people’s care and treatment so they could improve it continuously. This helped ensure positive outcomes that met both clinical expectations and the expectations of people themselves.

Instructions for staff on how to achieve positive outcomes for people were included in people’s support plans. Each care and support plan was individual and centred around the person, with input from relatives as appropriate.

The registered manager ensured each person receiving a service from Green Lanes Projects Limited had health profiles which detailed how they communicated, including how they showed they were in pain and photographs of how they signed key words. These documents could be used by visiting health and social care professionals to aid communication and assessment.

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

The Mental Capacity Act 2005 (MCA) provides a legal framework for making particular decisions on behalf of people who may lack the mental capacity to do so for themselves. The MCA requires that, as far as possible, people make their own decisions and are helped to do so when needed. When they lack mental capacity to take particular decisions, any made on their behalf must be in their best interests and as least restrictive as possible.

Staff confidently explained what restrictive practices were and how they were used as a last resort to keep people safe. Records showed people, and those important to them, were consulted as part of the decision-making process.

Staff had received training and told us the importance of asking consent before providing care for people and offering choice. A staff member told us, “Getting consent is essential to respect a person’s rights and autonomy. We always explain what we’re doing and why, and we ensure the person agrees before proceeding. If someone can’t give verbal consent, we look for non-verbal cues.” Another staff member stated, “Obtaining consent is respecting that person’s basic human rights.”