Deben Willow Care

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. Care plans and risk assessments were regularly reviewed and updated when people’s needs changed. The service provided reablement care which is a short- term service designed to help people regain or improve their ability to perform daily tasks independently, usually after a hospital stay or illness. These care plans reflected the agreed goals including building confidence and independence for the person as well as providing care and support.

People’s past experience had been considered. For example, what had worked well and where people had struggled in particular situations. People’s views and wishes and what mattered to them was described. For example, their routines, people and objects of importance. Some people and relatives told us they could not recall seeing a care plan or were not sure when it had last been updated. However, records seen showed that care plans were completed and risk assessments were current.

We did not look at Delivering evidence-based care and treatment during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at How staff, teams and services work together during this assessment. The score for this quality statement is based on the previous rating for Effective.

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.

Care plans described people’s health needs and guided staff on how support should be delivered. Information explained how people would express and indicate their health needs, which was important as some people had communication difficulties. For example, allowing people additional time to convey their wishes verbally or by watching for specific facial expressions and/or body language which indicated pain or distress.

Where people had specific health goals, these formed part of their care plans. For example, staff supported people with their nutritional needs to maintain or improve their overall health and wellbeing.

Where staff were alerted to a change in need this was escalated to the office so that any follow up actions such as contacting the GP or other healthcare professionals was sought in a timely manner.

We did not look at Monitoring and improving outcomes during this assessment. The score for this quality statement is based on the previous rating for Effective.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. Staff received training and there were systems in place to assess people’s capacity to make individual decisions. People had individual mental capacity assessments and best interest decisions in place when they lacked capacity to make decisions included in their care plans.

The provider had met their legal requirements for people who had a Lasting Power of Attorney (LPA) appointed. Prior to making decisions about care, management ensured evidence of the LPA was obtained and they were consulted about all decisions.

Staff had a good understanding of their responsibilities to obtain people’s consent to care. One member of staff told us, “I treat people politely and with respect. Close doors and curtains for privacy and use modesty towels when doing personal care. I explain what I am doing so they are involved and always I get their permission.” Another staff member shared,” I encourage people to choose, make their decisions and respect their choices, offer guidance if needed, but avoid taking over, praise effort and progress, help them see their strength and be patient.”

People and relatives told us the staff sought consent before providing care. One person shared about the staff, “They’re always polite, and ask before doing anything personal.”