Ayeesha-Raj Care Home

On this page

• Overview
• Person-centred Care
• Care provision, Integration and continuity
• Providing Information
• Listening to and involving people
• Equity in access
• Equity in experiences and outcomes
• Planning for the future

Staff told us they felt supported by the provider. For example, staff received supervision and team meetings. People received person-centred support, based around their individual needs. However, while care plans and risk assessments were in place, they were not always person centred. For example, goals that were set were not always meaningful goals or aspiration for the person.

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.

Information on how and when people were involved in planning their care and was not always clear. People's goals recorded were not always meaningful or an aspiration of the person they were set with. This meant people were not always being supported to identify goals or new areas of interest, which may have been limiting to people. Some people had lived at the service for 20 years and there was a lack of awareness to drive change or identify new opportunities for people, as things had not been done in that way before.

Staff spoke positively about the people they supported and how they endeavoured to ensure they received person centred care. However, staff demonstrated a lack of understanding around new interests for people and continuous goal setting.

While care plans and risk assessments were in place, there was not always relevant detail about what people's conditions meant for them, and how symptoms presented themselves. Improvements were required to care planning to make this more inclusive and involving people and representative of their views and wishes. Where it was not possible to involve people, or attempts had been made, staff had not documented this clearly.

People told us they were able to access activities and things they wanted to do with staff support. People accessed the local community and met with their family and friends. One person told us they were not able to go into the town as there was no one to drive them, but a plan was made for the next day.

Staff felt people were able to access the community and were integrated into this. Staff told us people went to the local supermarkets and were known and comfortable in the local village and community. However, we were not assured the provider sought sufficient community opportunities for people.

Positive comments were made by a health and social care professional working with the service. The registered manager discussed the positive relationships they had with health and social care providers to support joined up care.

Processes were in place to ensure people had communication passports and hospital passports which would ensure people received joined up care, based upon their needs, wishes and preferences.

People had access to information in formats that were accessible and aided their understanding.

The registered manager and staff told us how they encouraged communication and supported people to ensure their needs and views were heard. Information could be requested in different languages and formats, and staff who knew people well could approach different topics and areas with people as required.

As people's needs changed or information was required in different formats the registered manager was responsive and provided this.

People felt able to approach staff and share their views or raise concerns. People's relatives felt able to raise concerns but people told us there had been no need to raise anything.

Staff felt able to raise concerns and had a number of forums in which they could share their views. Staff felt they would be listened to if they raised anything and that their concerns would be acted upon also.

Processes and policies were in place to support people, relatives and staff to raise concerns and ensure their voices were heard.

People were able to access all of their health and wellbeing assessments. People were supported by staff who understood their needs and potential barriers that may prevent them from accessing services independently.

Staff and the registered manager felt people had equity in access to health and social care interventions. The registered manager advised the service worked closely with a number of partner agencies to enable people to access a variety of health care interventions and screenings. When people were not able to access support at the GP surgery for example, arrangements were made for health and social care professionals to come into the service to undertake the intervention the person required.

Positive feedback from partner agencies had been viewed in care records about the care and support provided.

Processes were in place to review people's care needs and monitor their health and wellbeing. This meant people were accessing regular screening checks and appointments were made and kept with relevant health and social care professionals.

People's views were sought and the service supported them to meet the outcomes they wished to achieve. Some goals were not always reflective of the person's wishes and were more so around an expected level of care, however the registered manager was receptive to the information shared and what changes needed to be made.

The registered manager and provider were knowledgeable about learning disabilities and Autism and wanted to understand people's views. They listened to what people wanted, and actions that could be taken to improve quality of life and opportunities.

Processes were in place to ensure people's equity in experiences and outcomes were achieved.

People were offered the opportunity to discuss their plans and wishes for the future, especially around end of life care. People did not always wish to engage in the process and this was documented, as the provider was respecting people's wishes.

Staff and the registered manager were aware of the importance of supporting people to have access to information at the right stages to make decisions about their futures.

Review processes were in place to consider people's involvement in future planning. This prompted thought and consideration to whether a conversation had been attempted, or needed to be considered by staff.