Paul Murphy Centre

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 requires improvement. At this assessment the rating has changed to 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.

The provider carried out thorough assessments of people’s needs before initiating care and support. Relevant information was gathered from professionals, the people themselves, and their families. These assessments informed the development of personalised care plans and risk assessments, which were reviewed regularly to maintain accuracy and relevance.

We did not look at Delivering evidence-based care and treatment during this assessment. The score for this quality statement is based on the previous rating for Effective.

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.

Clear communication processes were firmly established across staff teams. Information was routinely shared through handovers, staff meetings, and communication books, ensuring continuity and consistency in care delivery.

All staff interviewed confirmed that communication was effective and well-structured. A staff member commented, “Management and staff are aware of people’s needs. Details are in the risk assessment. Any changes are communicated immediately to staff on shift, with handover notes provided for the next team.”

Health professionals also provided positive feedback, confirming that communication within the service was consistent, timely, and effective.

Staff promptly reported concerns with people’s wellbeing. A staff member told us, “Most of our clients are non-verbal so it’s important to recognise when an individual isn’t feeling well. When a client isn’t being themselves that will be an indicator that they may feel unwell, their facial expressions, not wanting to eat or participate in an activity are all clues and with that a call to their GPs will be made for an appointment.”

We did not look at Supporting people to live healthier lives during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at Monitoring and improving outcomes during this assessment. The score for this quality statement is based on the previous rating for Effective.

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

People’s capacity was assessed in line with legal requirements, and where people were found to lack capacity, appropriate referrals were made to authorise any necessary deprivation of liberty.

Care and support were consistently delivered in people’s best interests, with decisions clearly documented in care plans. Where specific restrictions were considered, such as the use of door sensors to monitor people at risk of leaving their room, additional best interests’ meetings were held to ensure decisions were proportionate and justified.

Staff demonstrated a strong understanding of consent, with one commenting, “I never assume consent is implied.” They recognised that some people may not be able to verbally express consent and emphasised the importance of observing non-verbal cues and behaviours that may indicate discomfort or distress.