Your Life (Stratford-upon-Avon)

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's assessments included information about their individual health and care needs, their personal preferences and any communication requirements.

People said they were involved in agreeing their assessments and the care and support they needed. People had signed to show they agreed with their assessments and care plans.

The provider planned and delivered people’s care and treatment in line with legislation and current evidence-based good practice and standards.

The provider’s compliance team reviewed policies and procedures to ensure they reflected best practice guidance. Any updated policies or guidance were shared with the registered manager to be cascaded to the wider staff team.

Staff training was regularly refreshed so staff were aware of any changes in best practice. Duty manager’s monitored staff to ensure training was effectively embedded in their day-to-day interactions with people.

Most people chose to eat their meals in the on-site restaurant or have a tray service delivered to their room. Where staff supported people with meals and drinks, this was detailed in their care plans and recorded in daily records. Nobody had any specific dietary needs at the time of our inspection.

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

Care records provided staff with relevant information to meet people’s needs. Staff completed records of the support they had provided during each care call which ensured information was shared and people received care in accordance with their assessed needs. There was a written and verbal daily handover when changes in people’s health or planned care were shared with care staff. Staff told us communication was effective.

Where a need was identified, people were referred to other health and social care professionals for guidance and support. For example, 1 person had been referred to the occupational therapist for an assessment of their mobility equipment. The updated guidance was reflected in the person’s care plan.

The provider supported people to manage their health and wellbeing to maximise their independence, choice and control.

People were able to arrange their own healthcare appointments, and this independence was respected and supported. The registered manager told us staff assisted with healthcare arrangements when it was requested or a need was identified.

Staff supported emotional health and social wellbeing by encouraging and supporting people to meet with others in on-site communal areas. For example, 1 person was encouraged to go for lunch at the restaurant once a week to promote their social engagement with others.

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.

Staff monitored people’s health and wellbeing during care calls and reported any concerns to the management team. One staff member told us, “Sometimes you know they are not themselves and I will always come and talk to [registered manager]. Even if they are quieter than usual or sleeping longer than normal."

Care plans were outcome focused and identified where people needed encouragement or prompting to maintain their independence. For example, 1 person had recently had a hospital admission. The person’s care plan guided staff to encourage the person to walk during every care call to support the person’s recovery and improve their mobility.

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

At the time of our inspection, every person receiving support had the capacity to make their own decisions about their support needs. People had signed their care records to show they consented to their packages of care.

Staff respected people’s right to make their own decisions and care plans and daily records documented people's decisions and choices. One staff member told us, "We should always assume capacity and support that wherever we can." The registered manager understood their responsibilities under the Mental Capacity Act 2005 if it was felt people's capacity to make decisions impacted on the support they needed to keep them safe.