Dwell-In Social 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. This is the first assessment for this service since registration. This key question has been rated 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. For example, the assessment of the persons needs informed the creation of the persons support plan which detailed their health, communication, interests, preferences and 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 services model of care was in line with current best practice guidance right support, right care, right culture. Leaders had built a culture that focused on enabling people’s choices and independence.

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. For example, the provider used an online care planning system which enabled them to share information between different services, if 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 needs for care and support. For example, the person supported had been referred by a healthcare professional to attend a gym and staff supported the person to obtain a membership and attend regularly to support with their health and wellbeing needs.

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. Daily care records were regularly monitored to review people’s outcomes and identify any actions or areas for improvement. The manager was also in the process of implementing a new tool to record and review people’s individualised outcomes.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. Where people lacked capacity to consent to decisions about their care and treatment, systems and processes were in place to ensure decisions made were in the person’s best interest and in line with the Mental Capacity Act. Staff demonstrated an understanding of the importance of respecting people’s choices through effective communication. A staff member said, “[Person] communicates their preferences using non-verbal cues such as nodding for 'yes' or 'no'.”