Naylorsfield and Hartsbourne

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. People and the loved ones told us they were involved in the assessment of their needs, and in the planning of their care to ensure they received person-centred support. We found since the previous inspection the provider had made significant improvements when assessing and reviewing people’s needs. One person’s loved one told us, “In the past only basic needs were met and if we worried about [Name] we could not get hold of them and I would drive their 11 o’clock at night to find out and that was not reassuring but now feels our minds are at ease and we can see the manager is putting things in place. Things like counselling in place which should have been done years ago.”

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 and their loved ones told us making their own personal choices was paramount and people could easily make requests to arrange to meet up with people that were important in their lives. One persons loved one told us, “They are working with [Name] to give him his independence and there is future thinking. I always felt there never was in the past. It feels now like they think about [Name] wants. We have been really impressed with how they have reviewed everything since new manager came in.” Care plans showed evidence of other healthcare professionals being involved in their care. This meant people could be confident the provider sought the relevant advice and followed guidance from nationally recognised best practice standards to assist in meeting their care needs.

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 provider worked well with the local authority and other healthcare professionals. Care records showed people had been referred to other professionals without delay and this meant people’s care needs could be addressed swiftly and effectively. One health professional told us, “They provided all relevant care plans when requested and were all completed to a good standard that ensured they understood the risk of individuals.”

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. Staff promoted healthy lifestyles in line with people’s likes and preferences and care plans showed people had set health goals with staff able to tell us how these goals were progressing.

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured outcomes were positive and consistent, and they met both clinical expectations and the expectations of people themselves. Care plans were person centred and focused on people's health conditions, their risks and what support they needed. Appropriate referrals had been made to specialist services when additional health support needs were identified. One persons loved one told us, “[Name] used to have quite a temper, and they help him brilliantly. They have recognised what is needed and have built up a good bond. [Name] gets on with staff and have a good relationship which really helps.”

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. There was information and guidance included in care plans on how people expressed those wishes.Staff demonstrated a good understanding of the Mental Capacity Act 2005.