Hazel Homes for Autism

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.

People, their families and relevant healthcare professionals were actively involved in assessments and ongoing reviews of their care and support needs.

Information from these assessments and reviews was used to inform people’s care and risk management plans.

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.

People’s planned care and support reflected their choices and preferences for how this was provided. A staff member told us, “Everyone’s care plan is based on their needs, and this tells us what people want and how they want to do things and when. Everyone’s plan is designed to them.”

Staff and managers undertook training at regular intervals so that their skills and knowledge remained up to date with current practice and standards.

Managers monitored and reviewed people’s needs to make sure care and support continued to be delivered in line with people’s choices and preferences.

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 together, sharing information and updates promptly to ensure people received care and support in a consistent way. A healthcare professional, who visited the home on a weekly basis to support people with their healthcare needs, said they had a proactive working relationship with the staff team, who ‘worked hard’ to provide the care and support people required.

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 need for care and support.

People were supported to stay healthy and well, in line with their needs and wishes. A relative told us, “[Family member] is happy. [They are] eating well and not overweight. There has been no change in their behaviours. They are always the same so that is a good sign. If [family member] wasn’t happy they would be shouting and be aggressive and they are never like this.” Another relative said, “[Family member] is calm, eating well and very healthy and they are very happy.”

Staff helped people access healthcare services when needed. They made sure healthcare services had key information about people to support effective decision making about people’s healthcare needs.

Staff monitored people’s general health and wellbeing. They knew people well and could recognise when someone was unwell or in pain. Any changes or concerns were promptly reported to the relevant healthcare professionals to ensure people received timely and appropriate support.

Managers reviewed information relating to people’s healthcare needs to ensure care plans and guidance was focussed on their current needs and effective at promoting people’s ongoing health and wellbeing.

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.

People’s care plans set out their stated goals and desired outcomes. Staff supported people to achieve these. A relative told us, “I can see some differences in [family member]. Their behaviours have changed a lot and for the better. They are helping them to transition from being a child to a young adult.”

Staff maintained records of the care and support provided to people including their observations about their health and wellbeing. Managers reviewed these records to check that the care and support provided to people was helping them achieve positive and consistent outcomes.

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

People were supported to understand their rights around consent before staff provided them with care and support. A staff member told us, “You just need to ask people. Most people can say no. So, then you may give options and you listen to what people want to do instead.”

The service was working within the principles of the Mental Capacity Act (MCA). Mental capacity assessments were completed with people and others involved in their care. If people could not make decisions and consent to their care, processes were in place to make sure any decisions would be made in their best interests.