Cherish UK Ltd Supported Living

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 therating has remained the same.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.

Care plans included detailed medical histories, personal preferences, and risk factors. Assessments of people’s care were carried out when people first began using the service. These considered family information, health and well-being, care and support required and medication. We also saw examples where the service had declined new placements following an assessment, due to not being able to meet the person’s needs.

Relatives told us they were involved with the assessment process. One relative told us, “(Person) has been receiving care for about 15 years now and when Cherish took over they met me and consulted, I attend regular review meetings now.”

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.

The registered manager told us about best practice guidelines which were followed including NICE guidelines. Staff had access to electronic policies and procedures meaning they could seek advice as required.

People who used the service and relatives told us they received enough support to eat and drink in order to meet their nutrition/hydration needs, with the support people required detailed within care plans. A relative said to us, “(Person) has enough to eat and drink, staff are organised and plan ahead for the week, they encourage healthy eating.”

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.

We saw evidence of joint working with other organisations including social workers, funded nursing care teams and continuing healthcare services. People also had input from the moving and handling service and speech and language therapists (SaLT) to ensure they received the care and support they required.

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 had access to different services to ensure they were able to maintain good health, including GPs and dentists, with staff providing support to attend any appointments and order any medication as required.

The service encouraged people to attend routine health appointments and follow any recommended treatment plans. People were able to participate in activities such as swimming and cycling to maintain and improve their health. The service maintained records about ‘Personal achievements’ for people, for example walking somewhere instead of getting a taxi to support weight loss. Another person had lost significant weight through healthy eating and exercise. As a result, they had gained an interest in healthier food and enjoyed following recipes and preparing the meals.

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 monitored all aspects of people’s health and reviewed people’s wellbeing with them and others involved in their care on a regular basis. Two people had achieved excellent outcomes linked to their diabetes management. Following a period of support, one person had been able to take responsibility for administering their own insulin and checking their blood sugar levels. The second person had achieved diabetes remission due to making healthier lifestyle choices. Diabetes remissionis when a person’s blood sugar levels stabilise long term.

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

People and their families were involved in decision making about the care that was provided. Capacity assessments were in place for people who needed support with decision making and where required, the provider involved others such as families and professionals in those processes, such as the local authority social workers. Staff understood the principles of the mental capacity act and the importance of making sure people were at the centre of decisions about their care.

We saw appropriate capacity assessments were completed for areas such as the use of bed rails and sensor alarms on doors, which alert staff when people mobilise. These measures can be restrictive and therefore the decision to install these needs to be in people’s best interest.