St Edmunds

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 71 (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 did not always make sure people’s care and treatment were effective because they did not always record people’s health, care, wellbeing and communication needs.

People’s needs were assessed before they began to use the service. A staff member said, “It can be difficult as sometimes not enough information comes from the discharge team, and it can be chaotic but as a team we deal with that well.”

People’s needs were then assessed during their first visit. Their views were listened to when assessments were carried out. Each person had a care plan in place. The care plans were basic in content and relied on other documents for detailed information, such as the assessments carried out prior to hospital discharge.

The registered manager said they would develop care plans to contain further detail on how people’s needs were to be met and how they liked things to be done.

During their visits, care staff continually reviewed people’s needs to ensure they continued to be met.

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.

Staff worked with a range of health professionals to ensure people had their needs met. This included GPs, nurses, occupational therapists, and physiotherapists. People told us they had regular visits to review their needs and progress.

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 told us how they worked with professionals to share information about people to promote positive health outcomes. We received positive feedback from partners about the service, they told us staff worked well with them, to meet people's needs and provide good care. Health professionals said,“I find them all really helpful and always happy to discuss any queries we may have and can sometimes inform us of other services to use,” and “The communication is good, and the Team Lead is approachable and cooperative.”

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. Staff were passionate about providing support to people to enable them to be more independent and remain at home. The service promoted collaborative working with services, to meet people's needs, increase their abilities and reduce their need for future support.

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 told us their care was reviewed regularly. Staff continuously monitored the outcomes for each person and reviewed the effectiveness of their support. They sought to improve people’s experience by making changes to the support being delivered.

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

Staff knew to seek consent before delivering care. Most people who used the service had the capacity to make decisions. Where people lacked capacity, the service had completed mental capacity assessments, and best interest decisions had been made. Staff had completed training in the Mental Capacity Act and knew how to apply this in practice.