Craven Intermediate Care service

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 had person centred care plans which focused on their goals and aspirations. Clear tracking systems were in place. Staff worked with people to ensure their views and opinions were included in the creation and reviews.

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 received support which was in line with current best practices. There was a joined up approach between the service and health staff to ensure people received the right care, from the right people at the right time.

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. People benefitted from an approach which was joined up with health and social care organisations. Due to the multi-disciplinary weekly review meetings, all staff and health professionals involved were aware of the changes and improvements a person was making.

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.People were supported to reach their goals and regain their independence. There was a high success rate of people returning to independence following the support from staff. One member of staff told us, “We find most people have reached their goals within the 6 week period but if they need a little more time, we are flexible and can offer another couple of weeks.”

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.There were systems in place to monitor and respond to people’s changing needs to ensure progress and improvements were made over the course of the intermediate care period. There were bi-weekly meetings with health and social care staff to monitor and track people’s progress. Staff and people were actively involved and consulted as part of this process.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment.People always consented to the support by giving written consent and verbal consent at the point of receiving support. There was a clear audit trail to ensure consent was at the heart of decisions being made. Relatives, advocates and representatives were involved and consulted to support the person as required.