Maplehurst

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• 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

During our assessment of this key question, we found people’s needs were assessed in depth prior to their admission. Risk was continually monitored, assessed and care plans were comprehensive and detailed. Staff worked collaboratively with people using the service through regular meetings. People told us they were supported to go out and develop new skills. Communication worked well within the service and staff worked well with external partners to ensure people's needs were met. Consent was sought from people and there were policies and procedures in place when people lacked capacity to give consent.

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.

We did not receive any feedback from people about this quality statement for this assessment.

Managers explained how the services multidisciplinary teams were involved in assessing people's needs before admission and ensuring people's risks were identified, managed and appropriate plans in place on admission at the service.

There was an admissions policy in place, and this was being followed. We found admissions documentation following referral was comprehensive, documented person’s past history, trigger points during their childhood and into young adulthood and their current support needs.

People shared positive feedback about their care.

Staff and managers were aware of best practice guidance linked to caring and supporting children and young people with eating disorders and mental health needs.

Processes in place were effective to ensure people's needs were assessed and planned for. Records examined demonstrated that risk was continually monitored and assessed. Care Plans were comprehensive and detailed well to people’s specific mental health and physical health needs.

People told us there were various members of the team involved in their care, this included support workers, manager and clinical staff. People told us they could choose the support they received from their team.

Staff told us they worked well together as a team. Their comments included, "We meet weekly as an MDT [multidisciplinary team] to provide updates residentially and clinically about the young people. We also have monthly MDTs where we discuss the young person's month, achievements, difficulties and create goals/plans for the next month."

We did not receive any feedback from partners about this quality statement for this assessment.

Communication worked well within the service and staff worked well with external partners to ensure people's needs were met. People’s information was stored using an electronic care planning system which was easily accessible.

People told us they were supported to go out and develop new skills.

The manager told us they worked well with external health professionals. The service offered increased clinical support for people living at the home. This meant people had access to medical services in a timely way. Staff knew people well and understood the risks they faced in terms of their nutrition and hydration.

The provider had processes in place to ensure people’s nutrition and hydration needs were met and regular monitoring of clinical checks supported people’s wellness.

People were involved in planning and reviewing their care.

Staff told us they responded proactively to meet people's changing needs. Their comments included, "External stakeholders attend CPA’s [care planning assessments], are able to attend reviews and we involve them in care planning and if there are any significant changes in care or risk. We are able to schedule professional’s meetings in between CPAs where there are identified concerns and try and work proactively and take on feedback."

Records showed clear goals and outcomes for people. Each person's care plan was individual and centred around their needs, preferences and goals for the future. This supported their wellbeing while encouraging people's independence.

People were involved in reviewing their care and told us chances to their care plans and medicines were acted upon quickly, however they did not feel they were always informed and updated about the outcomes of any tests. We feedback this back to the management team who told us they would make sure this was reviewed.

Managers and staff had a good understanding of the principles of the Mental Capacity Act. Staff had received training and told us the importance of asking for consent before providing care for people. Their comments included, "We seek consent from the young person at every stage of their care. For example, in my role, young people are aware in advance of any meetings, they are able to verbally or in writing make requests to the MDT and myself. The young people are involved in managing their mental health care plan and have the ability to refuse treatment if they do not agree with any aspect of their care."

Consent was sought from people and there were policies and procedures in place when people lacked capacity to give consent, for care to be planned and delivered in their best interests and in the least restrictive way.