Walfinch Hampstead & Camden

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 assessmentwe 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.

Staff and management routinely reviewed people’s care to help ensure they received the right support as and when they needed it. People’s relatives told us they thought people’s needs were met and their choices were respected and acted on.

Care records were developed that highlighted key information such as communication preferences. Staff told us they were provided with information about people who were new to the service before they arrived. Care records showed people’s needs were continually assessed and changes to their care and treatment plans were made where required to ensure good outcomes. Staff told us identified changes were communicated to the management team and care plans were updated to reflect the change.

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 provider ensured people were told about current good practice relevant to their care and were involved in how this was reflected in their care plans. People’s nutrition and hydration needs were met in line with current guidance.

The provider used a digital care planning system to manage care plans and roster staff. Care plans were developed for each identified care need and staff had guidance on how to meet those needs. Staff applied learning effectively in line with best practice, which led to good outcomes for people and supported a better quality of life. People were supported with their nutrition where required.

The provider worked well across teams and services to support people. Where appropriate, professionals were involved in the people’s health, care and support.

Staff had access to people’s care and support plans to understand people’s needs and deliver their care. People were supported to live a healthy life, and the registered manager and staff understood the importance of sharing accurate information in a timely manner. Staff told us communication within the service was effective and various systems were in place for the staff team to share information in a timely way.

Regular meetings were held for staff and was an opportunity for staff to share information about the running of the service and people’s individual 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.

Records evidenced staff monitored people’s health and gave information on how to escalate concerns appropriately. Staff were knowledgeable about people’s health and care needs. Where people required assistance with food and drink, detailed guidance was in place, including for those with swallowing difficulties or special dietary requirements.

A system was in place to help monitor people’s health and well-being.

Care plans detailed how people wanted to be supported to achieve their goals and outcomes. 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 registered manager audited and checked records and liaised with staff to ensure appropriate action was taken when monitoring and responding to people’s needs.

The provider undertook quality assurance through home visits, surveys and welfare calls. This meant known risks, poor outcomes or concerns raised by people or their relatives to people were immediately identified and acted upon to reduce the risk of poor outcomes.

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

Staff had completed Mental Capacity Act 2005 (MCA) training. Staff told us how they always sought people’s consent before each individual care task and the actions they would take if a person lacked the capacity to make decisions about their care.

An appropriate MCA policy was in place.

No concerns were raised by people or their relatives in relation to staff seeking consent.