The Office

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 71 (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.

People had key workers who were responsible for regularly reviewing people’s needs alongside them.

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.

Person-centred planning meetings were held with people to help ensure their needs and preferences were at the centre of the care planning process.
 

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.

When people were supported by different agencies staff ensured information was shared appropriately and as needed. Staff told us they communicated effectively with each other and were made aware of any changes in people's 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.

The service was alert to people’s changing needs and any challenges they faced which might impact on their well-being and independence. Staff described how they encouraged people to maintain their independence and increase their life skills while being mindful of any risk of making too many demands on people which could be counterproductive.

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.

There was no head injury protocol to inform staff of the action to take following any accident. This meant people may not have been monitored in line with best practice. The registered manager told us they followed any guidance provided by external professionals. However, it is important staff have access to organisational guidance at all times. Following the inspection the registered manager told us they had developed a protocol to support staff.

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

People were fully involved in planning how their care and support was delivered. Care plans had been signed to document people were in agreement with their plan of care. We received some feedback that not all staff were consistently using appropriate language to ensure people were supported to make day to day decisions. We discussed this with the registered manager who assured us they would follow this up.