Carterhatch Supported Living Services

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 67 (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 did not always make sure people’s care and treatment were effective because they did not always check and discuss people’s health, care, wellbeing and communication needs with them.

People’s care had not been regularly assessed, and care plans were not always reviewed regularly. We spoke with the manager about this. The manager told us they had already identified this concern and were in the process of reviewing people’s care as well also contacting placing authorities to arrange a care review where necessary. Care plans were also in the process of being reviewed within the service. Relatives commented, “We have been asking for a care plan review for over 3 years, we are told they are waiting for the council”, “Reviews don’t seem to be happening, I don’t know when the last one was. This needs addressing, as [person] gets older [their] needs are changing. I hope the new manager sorts this out” and “We have not had care plan reviews annually. Now that things are improving, I am quite happy. I know they would arrange a review if required.”

People’s communication needs were documented in their care plans. Communication was also assessed during the referral process to make sure people would be able to share their views and opinions and receive effective care when they moved in. Staff had received training around working with people with a learning disability / autism.

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.

Each person was supported to plan their menu and where they were able, to shop and cook. People were fully involved in choosing what they eat and were positive around how staff supported them and promoted choice. Where people were unable to shop and cook, staff ensured people were given choice and respected their choices and cultural food needs.

There was a sense of community across the service and people told us about using the shared lounge to have Christmas dinner together. They planned, with the support of staff, for each person to cook an element of Christmas dinner and share the meal together.

Although we found people’s care plans were not always regularly reviewed, people told us they were able to tell staff what they wanted and how they wanted to receive their care. Staff knew people well and understood their needs. Throughout the inspection, we observed people and staff talking and planning what people wanted to do for the day, what they wanted to eat and when they wanted to receive personal care.

The provider worked well across teams and services to support people. Staff understood each person’s individual care needs and helped them access services and attend appointments. These included specialist appointments as well as routine healthcare. Staff from different disciplines worked together as a team to benefit people. They supported each other to make sure people had no gaps in their care.

The service worked closely with healthcare professionals such as occupational therapists, learning disability teams and psychologists to maintain and improve people’s wellbeing. There were records of people healthcare appointments and any changes in care were communicated to the staff team to ensure people were appropriately supported with any changes im healthcare needs.

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, where possible, played an active role in maintaining their own health and wellbeing.People were supported to attend annual health checks, screening and primary care services

Multi- disciplinary team professionals were involved in/ made aware of support plans to improve as person’s care. The service ensured that people were provided with joined-up support so they could travel, access health centres, education and or employment opportunities and social events. People were referred to health careprofessionals to support their wellbeingand help them to live healthy lives. Staff from different healthcare services worked together as a team to benefit people. They supported each other to make sure people had no gaps in their care. A relative said, “[Person] has regular hospital appointments, and I go when I can. When carers take [them], I get feedback straight afterwards.”

The provider did not always routinely monitor people’s care and treatment to continuously improve it. They did not always ensure that outcomes were positive and consistent.

The new management team had identified not all people had received recent placement reviews. The provider was in the process of following this up. People’s care was monitored through regular key working sessions where staff checked people were happy with the care they received and helped them set any goals for the future they may have. The manager had started to review care plans. They had also identified these needed to be reviewed and updated to reflect current care needs and person-centred care. We did not have any concerns people about the positive outcomes for people. However, the documentation did not always reflect this.

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

Staff empowered people to make their own decisions about their care and support. Staff knew about people’s capacity to make decisions through verbal or non-verbal means. For peoplethat the serviceassessed as lacking mental capacity for certain decisions, this was documented in their care plans. Staff were able to tell us what consent meant and how this was integrated into care provided.