Carefield - Supported Living

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.

This is the first assessment for this service. This key question has been rated 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.

A pre-assessment form was in place to determine if the service could support people’s needs safely and effectively through capturing key information on support needs and risks such as health conditions, support required, preferences and level of independence.

People had choices and their preferences were included as part of assessments. A staff member told us, “The service users always have choices, we do ask them what they need, how they want to be supported.”

The registered manager and staff told us that people’s needs were assessed regularly to ensure they always received personalised care. Records showed the service assessed people’s needs regularly to ensure the care they received, reflected their needs and were personalised.

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 good practice and standards.

People received evidence-based care and treatment. The management team told us people's care was based around what was important to them and according to their preferences to ensure evidence-based care and treatment could be delivered. People had allocated key workers, and regular meetings were held to assess people’s needs and identify people’s goals and preferences for care.

Care plans included the support people required with care and treatment. Feedback was sought from people to ensure evidence-based care and treatment was delivered. The registered manager gave examples where a person had been supported to go out more often in the community, which they were reluctant to before.

The provider worked well across teams and services to support people.

The service worked in partnership with other agencies such as health and social professionals if people were not well, to ensure people were in the best of health.

Daily notes were completed after care was delivered to people, which included tasks completed and wellbeing of people to ensure continuity of care. Staff meetings were held and staff were able to share important updates with the team about care and support to people. A staff member told us, “We have staff meetings, at end of shift we give handovers on pending tasks such as medicines or cleaning or anything related to service users.”

Staff told us they worked well with each other and external services and were supported by management.

Staff monitored people's health and welfare and reported any concerns to the management team who made referrals to health care professionals where required. Records showed people had access to healthcare services. A hospital passport was in place that included people’s backgrounds, care needs, health conditions and communication ability to ensure people received continuity of care.

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 were supported to live healthier lives. The service carried out assessments on people’s care and health to ensure they could be supported to live healthier lives.

The management team and staff told us that people were always supported to live healthier lives. This included supporting people to go out in the community, encouraging people to eat well and promoting independence.

A healthy eating plan was in place for people that required a balanced diet and referral to dietitians were made when required to support people to live healthier lives.

People were also supported with attending healthcare appointments to ensure they were in the best of health such as hospitals and GP.

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent.

People's care and treatment was being monitored to improve outcomes. Reviews were carried out regularly to ensure people’s support and outcomes were monitored. Audits were being carried out, and action plans were in place to ensure people received personalised care according to their needs to ensure there was a cycle of improvement and improving outcomes for people.

Staff monitored people's health and welfare and reported any concerns to the management team. A health awareness care plan was in place detailing how staff should respond if people were not feeling well.

The registered manager and staff told us people’s outcomes were always monitored through reviews and feedback. During reviews, care needs were discussed to improve outcomes.

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

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 take particular decisions, any made on their behalf must be in their best interests and as least restrictive as possible. We checked whether the service was working within the principles of the MCA.

Systems were in place to obtain consent from people to provide care and support. An MCA policy was in place and staff had been trained on the MCA. MCA assessments had been completed to check if people had capacity to make certain decisions. Consent had been sought from people to provide care and support.

Management and staff were aware of the principles of the MCA and the need to ask for consent. Staff told us that they would always request people’s consent where possible before doing any tasks. A staff member told us, “We have to take consent before supporting people such as when supporting with showering, we take consent even when entering their room.”