Hawabu House

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 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.

The person’s needs were assessed prior to and following admission. Information gathered before they moved into the home was reviewed and developed into initial care plans and risk assessments. Consideration was also given to other people’s needs and the impact of the person moving into the home.

Care plans were then regularly reviewed and revised as staff learned more about the person, their likes, and dislikes, risks, and communication style. Professionals from other agencies were also involved so that care plans refleced the person’s life history and current needs.

The person was supported to take an active role in their care planning, and records showed they had contributed to care plans and risk assessments and their wishes and views were explored and taken into account.

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 person was actively involved in decisions about their care and the staff team involved relevant professionals to meet their needs and support their wellbeing. Where the person required support with their mental health, staff arranged appointments and supported them to attend.

Training in relation to positive behaviour support and physical intervention was tailored to the person’s individual needs. This meant staff knew how to support the person in a consistent manner by staff who understood their needs.

Staff told us, “Most people already have existing health diagnoses when they join the service, but we also carry out our own assessments and gather additional information through ongoing observations. This helps ensure the care plan is accurate, current, and responsive to their individual needs.”

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 together with the management team to provide consistent support which evolved according to the person’s changing needs. There were well established communication systems within the staff team which ensured staff were kept up to date with changes to the person’s support needs. For example, where staff identified something new that might help the person, this was shared to facilitate effective care.

One staff member told us, “We carry out handovers at the start of each shift, where staff are briefed on what has happened during the previous shift and any planned activities for the day. At the end of the shift, staff summarise the day to ensure the next team has a full understanding of events, mood changes, incidents, and any important updates.”

The staff team worked in partnership with external professionals to ensure specialist support was available for the person when required.

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 person was supported with their health needs and the staff team promoted wellbeing. One staff member told us, “We encourage young people to make healthy food choices, so they do not rely on snacks and instead eat proper, balanced meals. We often turn meal preparation into an activity where staff and young people cook together, helping to create a positive, shared routine around food.”

The person was offered the opportunity to attend wellbeing sessions which were facilitated by staff employed outside of the home by the provider. We saw how these sessions had been accessed by the person and had given them chance to talk to someone outside of their usual staff team.

Records showed the person had been supported to access support to meet their health needs including their GP, dentist, and optician.

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 person was supported to develop goals and outcomes which were based on their individual wishes and aspirations. Through key working sessions they were encouraged to explore and discuss decisions in relation to their daily lives and future wishes. Staff told us, and records confirmed, that actions were set as part of these discussions to ensure the person’s views were taken seriously and action taken to progress any wishes or requests. For example, staff told us a person who previously used the service had expressed a wish to move on from the home and live more independently, and staff had followed this up with relevant professionals and agencies.

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

Staff sought the person’s consent before providing care and support. Where high levels of staff supervision were in place to manage the person’s risks, these were regularly discussed with them and less restrictive options were considered.

Staff had completed training in the Mental Capacity Act (MCA) and understood the importance of seeking consent from the person and they supported them to make their own decisions where possible. One staff member told us, “We need to talk with [person] and communicate clearly, they are familiar with the staff team. We encourage them by saying things like, ‘Let’s do this together,’ and we talk them through each step of what we are doing. Throughout this, we continue to offer choice and seek consent, while still providing support when needed.”