Sugarman Health and Wellbeing - Dorset

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 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.

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’s care and support needs were assessed before they were supported by the service. People’s care plans included their health, care and communication needs. Care plans were reviewed regularly with people and relatives, where appropriate. People confirmed they were involved in the care planning and review process. One relative told us, “They review them quite a lot.”

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 and relatives were involved in creating and reviewing care plans, to ensure care was provided in line with people’s wishes. Care plans contained person-centred information about people’s long-term health needs. Staff worked with external professionals where required.

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 inspection of needs when people moved between different services.

People told us their information was shared appropriately with relevant external professionals, such as the district nurse, to support their care. Staff had access to the information they needed to assess, plan and deliver people’s care. We received positive feedback from external professionals. One professional told us, “There is evidence of multi‑disciplinary working and information sharing, which helps to ensure care is coordinated and responsive.”

The provider supported people to manage their health and wellbeing to maximise their independence, choice and control. The provider supported people to live healthier lives and where possible, reduce their future needs for care and support.

People were supported to access healthcare services when required. Care plans were in place to support staff to maintain people’s health and wellbeing. People told us staff encouraged their independence and respected their choices. One professional told us, “Staff do seek advice and support from external professionals when it is necessary to do so. Concerns regarding changes in people’s health or wellbeing are escalated appropriately, supporting timely intervention.”

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.

The provider worked closely with external professionals, and staff monitored people’s health conditions to help achieve positive outcomes. People were involved in regular reviews of their care and told us staff communicated well with them and external professionals.

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

People told us staff gained their consent and respected their choices. The Mental Capacity Act 2005 (MCA) provides a legal framework for making particular decisions on behalf of people who may lack the mental capacity to do so for themselves. The Act requires that, as far as possible, people make their own decisions and are helped to do so when needed. When they lack mental capacity to make particular decisions, any made on their behalf must be in their best interests and as least restrictive as possible. Consent forms were in place and where people lacked capacity best interest decisions were in place. Staff had received training around the MCA principles.