Aspire 2B 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 stayed the same. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 67 (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 needs were assessed before they started using the service, and the information was used to inform care plans. People and families were involved in their care planning and reviewing of their care and support. There were good links with other health and social care professionals, and we received positive feedback about how the provider supported people who were new to the service.

The provider planned and delivered people’s care and treatment with them, including what was important and mattered to them.

The service supported people in line with legislation and used current evidence based good practice effectively. Care records provided evidence to show good practice guidance was followed in areas such as nutrition, hydration and skin integrity. For example, where people required their nutritional intake monitoring, records of meals were maintained.

The service supported people in line with legislation and current evidence-based good practice including CQC’s ‘Right support, right care, right culture’ guidance.

The provider worked well across teams and services to support people.

There was evidence of good team working within the service and with external partners. This included effective links with people and their families and other health and social care professionals. Most staff felt supported, valued and included in the day to day running of the service. There were regular team meetings for groups of staff who supported individuals, which demonstrated people’s needs and wishes were at the heart of the service values. Staff comments included, “There is really good teamwork. There are lots of staff who go above and beyond.”

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.

Systems were in place to ensure people had access to specialist professional support. Records showed involvement from other professionals including district nurses, occupational therapists and epilepsy specialists. Where people’s needs changed referrals were made promptly for support and advice. People’s health was monitored to promote their wellbeing. People were supported with healthy meal options, and consideration was given about variety and presentation. People were also supported to exercise and follow healthy outdoor pursuits, where they wanted to.

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.

Processes were in place to evidence people’s care and support was monitored. Staff understood the importance of monitoring people’s care. Improvements could be made on how the provider reviewed handwritten daily notes to ensure all staff were maintaining effective monitoring records. Relatives and allied professionals told us about examples where outcomes for people had improved, which enhanced their lives. Comments included, “[Name of person] has a different and more positive life due to the commitment shown by Aspire 2B Care.”

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

Processes were in place to assess people’s mental capacity. However, some assessments were very basic. The provider acknowledged this and made improvements during the process of our assessment. We received positive feedback from people, relatives and professionals about the provider’s respectful approach to supporting people’s rights and choices. People were routinely offered choice and control over how they wanted to live their lives. Staff respected people’s rights and choices. Staff comments included, “I will always ask. I have conversations with [name of person] the whole time. I always talk things through even though I do it every day.”