CWD Outreach Service

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 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.

Relatives told us their family member’s needs were thoroughly assessed prior to them receiving support, and care was reviewed regularly. Leaders explained social workers completed the initial assessment of a child’s needs, which were then referred on to the provider. Leaders told us they then visited the child and their family, completed a risk assessment of the home, and sought information from relevant professionals for consistency and continuity of care.

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’s care plans were regularly reviewed with children and their relatives to ensure they remained up to date. Policies were in line with legislation and best practice guidelines. Leaders told us they kept up to date with changes to legislation and best practice by attending CQC workshops and using a recognised training provider which was overseen by an academy. One leader commented, “The Academy ensures training is up to date and reflects current legislation.” As a result of this engagement, leaders had introduced 2 new specialised training courses.

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.

Staff worked well together and with other professionals. Relatives also commented they felt the service worked well with external teams. Comments included, “The team liaise with our child’s social worker. They attend and contribute to [their] 6 monthly reviews.”

Leaders told us how they worked with a range of services, such as occupational therapists, speech and language therapists, manual handling teams, social workers and schools.

There were regular team meetings for staff. Staff were able to stay at the office after the meeting for tea and coffee. One leader commented, “We have an agenda and then there is a social event.” There were also additional meetings which took place such as meetings for co-ordinators and meetings to discuss resources.

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.

Children had detailed information in their care plans about their health conditions and how these affected them. This enabled staff to manage any risks relating to specific conditions. Relatives felt staff met their family member’s health needs effectively.

Staff encouraged children to eat healthily where possible and encouraged exercise in line with children’s needs. One leader told us, “We try to get them out the house, we encourage shop visits, sometimes kids want to go to McDonalds [fast food restaurant], but we try to encourage healthier choices like going to the shop and cooking their own food instead, this also helps their independence skills.”

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.

All children had recorded outcomes within their person-centred plans. Staff gave examples of how they had improved outcomes for people. One staff member commented, “I have been privileged to see first-hand the difference our service makes to both the children and families.” Another staff member said, “We record outcomes for each child and assess goals regularly, so they are constantly growing and improving.”

Leaders had oversight of children’s outcomes, and these were regularly reviewed. Leaders commented, “Some outcomes will always stay the same, for example, encouraging a person to wear a [communication aid]. There are other outcomes such as hand over hand spoon feeding.” Leaders said when outcomes were reached, they would then find another outcome.

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

Although consent forms were signed by an appropriate adult, there was a strong focus on ensuring young people were involved in their care and knew what was written about them. For example, there was evidence of how children had been regularly shown their care plan and how they reacted to this. Records of care and support demonstrated clearly how children were at the centre of their care. For example, care notes stated exactly how staff had supported the child, why the staff had come to support them, the child’s involvement and how they had responded to the care and support.