Insight Teynham

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 as 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 79 (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 always 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. They worked to develop evidence-based good practice and standards.

The provider had fully implemented the practice of positive behavioural support (PBS) throughout the service. Positive behavioural support is an evidence-based, nationally recognised model of care. It is seen as the best way of supporting people who display or are at risk of displaying distressed behaviours which may cause harm to themselves or others.

The service had an appointed PBS coordinator who was completing a Diploma in Positive Behaviour Support. As a member of the staff team, they worked closely with people and their support staff to ensure people’s PBS plans were followed. Staff were further supported by the providers’ PBS lead who had achieved an Advanced Diploma Advanced Diploma in Positive Behavioural Support.

PBS plans included each person’s triggers which could lead to them become distressed. They also set out early interventions to defuse these situations and actions to take if these strategies were not effective. Staff were knowledgeable about the actions they should take to reduce the risk of distress and harm to people and others.

Continuous monitoring of people’s daily lives showed sustained improvements in outcomes for multiple people, using the PBS approach. Data analyses was from a wide range of sources including multidisciplinary meetings, observations, staff feedback and daily recording. This data was produced in graph format and showed over time, there had been increases in people’s participation in the community, and a decrease in any distressed behaviour. Where interventions had not been as successful as expected, staff made changes to their support strategies. Evidence based practice was shared between the two PBS leaders at the providers services, to help further develop PBS practice across the organization.

Health and social care professionals told us that these strategies were extremely successful in minimising people’s distress and teaching people new ways to respond to situations. One professional told us, “They appear more relaxed and confident over time.” The service had received a compliment from a health care professional, ‘I have been noticing a gradual, steady settlement and improvement. I believe your approach is very much empowering and motivational, enabling X to gain autonomy and build trust.'

Relatives were equally complimentary about the effectiveness of people’s support strategies and said they had gone beyond their expectations. One relative told us about their family member, “They have improved enormously since they have lived there. X is very happy.” Another relative said, “They have done marvellous things. All credit to the staff for their patience and understanding that has really helped in managing X’s behaviours. Their whole approach was so different. It was exceptional. Staff are always looking at different strategies to support X.”

We did not look at How staff, teams and services work together during this assessment. The score for this quality statement is based on the previous rating for Effective.

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.

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