Positive Steps Shropshire Limited

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 inspection we rated this key question good. At this inspection the rating 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.

The service made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them. Care plans were personal to the individual and based on their needs and preferences. These assessments of care included, but were not limited to, health, care, wellbeing, and communication needs. This enabled people to receive care that had good outcomes.

The service 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 individual care plans included assessments using recognised best practice tools. For example, mobility, diet and nutrition. These assessments accurately recorded people’s needs and wishes for support and were reviewed regularly or if there was a change in personal circumstances. For example, after a period of ill health a person’s health and wellbeing care and support plans were updated and, with the person’s permission, information was passed to other community based professionals to ensure they received consistent support.

The service 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. People told us the staff worked well with other health care providers to ensure they received a positive outcome. People had individual hospital passports. A hospital passport is a document designed to provide essential information about a person’s health needs, preferences, and support requirements.

The service supported people to manage their health and wellbeing to maximise their independence, choice and control. People were supported to live healthier lives through regular access to health care professionals such as their GP's. All those we spoke with told us they were referred for additional support without any delays if they needed it. This included support to make their own appointments with GP’s, hospitals and dentists.

The service routinely monitored people’s care and treatment to continuously improve it. They ensured outcomes were positive, consistent and they met the expectations of people themselves. When it was required, the service monitored people’s individual health changes to identify if any additional support was required. For example, one person told us how their health had been complicated, and they struggled to manage certain aspects of it. They went on to say how Positive Steps Shropshire Limited had supported them with advice, guidance and advocacy services to empower them to take control of their health needs.

The service told people about their rights around consent and respected these when delivering person-centred care and treatment. Everyone we spoke with told us they agreed for the care and support they received. Where necessary the provider had procedures in place to engage people with legal authority or responsibility to make decisions within the requirements of the Mental Capacity Act 2005. This included the duty to consult others such as carers, families and/or advocates, where appropriate.

For example, when people faced complex health changes and decisions they received tailored advice, guidance, and support with advocacy services supported by Positive Steps Shropshire Limited, which enabled them to take greater control over their own health and wellbeing.