The Wesley Centre

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 as 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 care and support needs were assessed prior to them moving to the service. Information gathered was used to create people's care and support plans. These clearly set out people’s needs and how they wished to be supported. Care plans were regularly reviewed and updated. Relatives told us they were involved in reviews. One relative said, “The care plan is reviewed every year. We go through it with the care manager and his social worker, making sure everything is okay.”

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 service delivered care and support in line with best practice guidance. People’s nutrition and hydrations needs were met. People were given choices each day of what they would like to eat for their meals. They had the opportunity to develop their skills within the kitchen. Staff monitored people’s wellbeing and encouraged healthy choices. One relative told us, “[My relative] chooses what they want to eat. They have good healthy, balanced meals. They sit down and plan the meals, what meat they want for the weekend. There’s a freezer full of food. Whatever people want like drinks and snacks, and these are put on the shopping list.”

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.

Staff worked well with external professionals to ensure transitions were well coordinated and planned in line with people preferences. The provider had a process in place to escalate health concerns and records confirmed health professionals were involved in people care. People had information about their health available to them in ways they could understand. The management team told us they worked closely with health and social care professionals to ensure people’s needs were met.

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.

Staff supported people to access healthcare professionals to manage their general health. They recognised the importance of oral health on people’s well-being and supported people to access the local dentist. People were supported to attend medical appointments and advice received was adapted into their care plans.

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.

The provider had a robust approach to monitoring the effectiveness of people’s care, treatment and action was taken to continuously improve it. Staff monitored and evaluated outcomes related to people’s health and quality of life. Staff worked with people to achieve established goals.

The provider did not always tell people about their rights around consent and did not always respect their rights when delivering care and treatment.

Appropriate records were not always completed for gaining people’s consent. For example, people’s consent to financial decisions had not been recorded by the provider. This meant the provider could not evidence that people were involved in decisions around their care and treatment. We spoke to the provider about this who agreed to take immediate action.

Staff understood the Mental Capacity Act 2005 and Deprivation of Liberty Safeguards (DoLS) and supported people with day-to-day choices; We observed staff asking people for consent and offering them choices in aspects of their lives as they supported them.