Newbarn Limited

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 as 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.

When receiving referrals from the Local Authority the management team assess if they can meet that person’s needs. They assess the individual themselves, and risk assess whether they can meet their needs.

People are involved in their review of care and staff keep clear, comprehensive care records to support reviews and evidence of appropriate action taken in response to changes noted. For example, a carer documented that they found the oven had been left on when entering the person’s flat. It was also documented that a discussion took place with the person and agreed that a timer would be set to remind the person to check that the oven was turned off. The information was added to their care plan in addition to the checks regarding appliances which were already in place.

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 registered manager was proactive in staying informed of current practice and joined up working with other care professionals ensured care was consistent and met all the needs of the people they supported. Staff supported people to maintain a healthy lifestyle including assistance with meal planning, shopping and preparing healthy meals with appropriate portion sizes. In addition, those with alcohol dependency were supported to reduce their intake and worked with support from a local charity who specialise in substance use to achieve this. Where necessary people were regularly weighed and this was logged and tracked to ensure a healthy weight was maintained.

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.

The service fostered a good relationship across various teams and services. They were part of regular multi-disciplinary team meetings including safeguarding meetings, multi-risk management meetings and strategy meetings with the local authority. Where appropriate, people and/or their advocate were also invited to attend.

A staff member we spoke to said they felt supported by the registered manager. Regular team meetings ensured that information was shared between staff and management providing consistency and effective support for the people in the service.

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.

Newbarn Limited focuses on encouraging independence at an appropriate level and their person-centered care plans ensure care staff can provide the correct level of care suited to people’s needs and interests. Through the support provided, some people using the service had been able to transition from 24 hour supported living to being supported in their own homes.

People were supported to wash and dress independently and keep their accommodation clean and tidy. Care staff supported people to go to appointments, complete their weekly shop and make meals where appropriate. A well-being hub provided an opportunity for people to socialise and develop skills and interests with activities such as arts and crafts, drama groups and computer classes.

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.

The management team recognised people’s needs can change. As a result, 6 monthly care plan reviews were completed with the person’s keyworker. Keyworker’s have a good relationship with the person enabling an open and honest review of their support. Information about people’s care needs was logged and overseen by the management team. At the time of the inspection, management were undertaking “mini reviews” of all the people they supported. These reviews provided the opportunity to discuss support being provided with the person, their medical protocol and to check that the support commissioned for them is what they wanted.

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

Staff displayed a good understanding of consent and how the people they supported had the right to choice and should be treated with dignity and respect. People’s daily care notes detailed how staff knocked at the person’s door and were granted entry by the person before they commence the required support.

Where people have been assessed to lack capacity in an area, for example, accessing the community alone, this was detailed in the support plan along with actions to be taken to ensure good quality care would be provided, for example, “Support staff to sit with [name] agreeing support activities that (they) could engage in and input these into (their) weekly routine. Look at risk assessment of absconding so staff can minimise risk when entering community.”