Liberty 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. People’s needs were assessed and care and support delivered in line with people’s current needs. Care plan reviews took place monthly or sooner if people’s needs changed. Any changes in people’s care were effectively communicated to staff to ensure people received appropriate care and support.

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 catering team had a good insight in to modified diets and had all relevant information to assist them to prepare food in line with people’s needs and requirements. Information regarding fortified foods and examples of what to offer people was included on all tea trolleys. People told us they enjoyed their meals. One person said, “The food is alright, you get 3 choices and plenty.”

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. The provider had a range of forums available for staff to share information. For example, daily flash meetings took place to ensure heads of all departments worked together well and shared information. Staff handovers also took place and gave staff the opportunity to pass on information to their colleagues.

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. People had access to healthcare professionals and timely referrals had taken place to ensure people had access to appropriate support. People had access to dentists and opticians and appointments were maintained. Staff ensured people had access to their glasses, hearing aids, and dentures as required. One person said, “The physio has been here to help me walk. They [staff] got a doctor for me.” Another person said, “They [staff] would get a doctor for me, and I am very impressed with the medical care here. It is excellent.”

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. People's care plans were monitored to ensure their outcomes improved. For example, 1 person’s skin integrity plan stated the outcome was to support them to maintain good skin integrity and minimise sores. The outcome was for staff to monitor for red areas so that issues could be identified quickly and action taken to resolve them. Hydration care plans were in place and supported people to maintain a balanced diet in line with their needs. Action was to ensure 1 person had the opportunity to sit with others in the dining room as they enjoyed the social aspect of the mealtime and this encouraged them to eat well and improved their outcomes.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. We saw staff involved people in their care and support and ensured they were the ones making decisions about their care and support. Staff ensured every opportunity was given to people to be able to make decisions. Staff spoke with people at their level and in a tone and manner they understood. This meant sometimes staff needed to speak clearly and slowly and be patient to wait for a response. We saw evidence of this on numerous occasions throughout the day.