Enablement Care Supported Living Services

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• 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 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

People’s needs were assessed and planned for. People and their relatives, where appropriate, had been involved in the care planning process. A care needs assessment had been carried out before people received care from the service.

People’s needs, risks and choices were assessed and planned for. Assessments were used to help create care plans which outlined people’s care and support needs, preferences and wishes and the support required by staff. Care plans were reviewed to reflect changes in people’s needs, wishes and health conditions.

People’s relatives told us they were confident people’s needs were met and their choices were respected. A relative said, “Staff know [family member’s] needs. I am confident that they do understand their needs.”

The provider planned and delivered people’s care and treatment with them, including what was important and mattered to them. This was done in line with legislation and current evidence-based good practice and standards. Staff undertook a range of training to help them perform their role effectively. Staff told us training was helpful, and they felt appropriately skilled and well informed. A member of staff said, “They equip us with training so that we can put it in practice and support our clients.”

People’s nutrition and hydration needs were assessed and individual care plans were in place. Staff monitored people’s food and fluid intake where necessary and helped ensure people had healthy and balanced diets. A relative told us, “They take care of [family member’s] meals. [They] eat fruit, vegetables and [staff] really do help [them] to eat healthily.”

The provider worked well across teams and services to support people. Staff had effective communication systems. Regular meetings were also held for staff and provided an opportunity for staff to share information about the running of the service and people’s individual needs. Information was also shared with staff through the provider’s internal electronic platform.

Staff told us they felt communication was good. A member of staff told us, “Communication is good. Professional and cordial. There are no gaps in communication.” Another member of staff said, “Communication is effective here.”

Staff shared information with each another as necessary to help ensure people experienced continuity of care. Staff told us they were supported in their work and felt valued working at the service. They said they felt comfortable reaching out to their colleagues and management for support.

Staff worked well with external healthcare professionals. They made timely referrals when they identified people had a specific need. Management communicated with various professionals such as the local authority, GP, community mental health teams.

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 recorded their visits on electronic daily notes. These included the tasks staff completed and people’s healthcare needs. Management used these notes to help monitor people’s progress.

Care plans were detailed and personalised. There was information for staff on how to monitor and care for people to keep them safe and well. People’s healthcare needs and medical histories were documented in their care plans. Care plans included details about how people’s health and medical conditions affected their everyday life and how staff could support them to overcome difficulties.

Outcomes were set for people in their care plans. These detailed how people wanted to be supported to achieve their goals and outcomes. Care plans we reviewed showed evidence of outcomes being monitored and progression towards goals.

Daily notes were completed by staff. These enabled staff to monitor people and help staff respond to people’s changing needs promptly to help promote positive outcomes.

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

Staff had received training on the Mental Capacity Act 2005. Staff were aware of the importance of giving people time to make their own decisions where possible.

Systems were in place to ensure valid consent to care was obtained.