Radcliffe House

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

Before moving into the home, an initial assessment was carried out to establish whether the young person’s needs could be appropriately met. The team met with relevant professionals, the young person, stakeholders, and family members (where appropriate), and a six-week transition plan was implemented.

The information gathered during this process was used to inform the development of the support plan, including specific management plans where risks had been identified. This information was regularly reviewed, alongside ongoing keyworker sessions with the young person, to ensure their views were considered and to identify any additional support needs.

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.

The provider applied an evidence-based model of care designed to support young people throughout their care pathway. This approach promotes social integration, recovery, and independence, while also aiming to reduce any restrictions in place.

The team received additional training aligned with best practice standards. This included the Positive Behaviour Support (PBS) framework, which focuses on improving the quality of life for individuals with a learning disability or autism by promoting positive behaviours and reducing the need for restrictive practices. Furthermore, consideration was also given to the Oliver McGowan Code of Practice, with staff undertaking specific training in learning disability and autism.

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.

Comprehensive information was gathered to reflect the care and support required. In addition to internal monthly multidisciplinary meetings, the team worked collaboratively with external agencies, such as social workers and advocates, to ensure the young people’s current and changing needs were effectively met.

Staff said they were supported by the wider team and stated they were kept well informed through internal meetings, handovers, and debriefing sessions.

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.

A health plan and therapeutic plan were developed with the young person and healthcare team. These outlined their needs, goals, and how they would be supported.

Staff said young people were encouraged to make healthy choices, including eating a balanced diet. They were also supported to take part in activities of daily living, such as cooking and shopping, to help build independence.

Staff told us they supported young people to access healthcare services and attend appointments when needed, including visits to the GP, dentist, and optician.

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.

Regular multidisciplinary meetings were held involving staff and the internal healthcare team. These meetings supported the monitoring and ongoing development of care, helping to enhance outcomes and improve the experiences of the young people.

Due to the small size of the service, there were opportunities for both young people and staff to share information, views, and ideas through individual and group meetings.

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

Care records and meeting minutes showed consent was sought from the young people in relation to their care and support. The young people were encouraged to make their own decisions, with support from other agencies or advocacy where necessary.

Staff demonstrated an understanding of the Mental Capacity Act 2005 and confirmed they had completed relevant training to support the young people appropriately. Staff said the young people were encouraged and supported to have choice and control over their day to lives. Staff commented," We support them by listening to them and giving real choices, involving them in the decisions, and encouraging independence while making sure they are safe."