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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

Systems were in place to assess people’s needs before they started to use the service. The registered manager and staff had a good understanding of the principles of MCA. There were policies and procedures for them to follow. The registered manager worked closely with health and social care professionals to monitor the health of people.

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.

People and relatives commented positively about the service and the care and support provided by staff.

During our visit, the provider and staff demonstrated a good knowledge of the people they offered care and support to. They knew what the needs of the people were and how to support them.

Before a person started using the service, an initial assessment of their abilities and needs was always undertaken. This covered a number of areas such as people’s care and support needs, wishes, preferences, routines and past histories. The management team obtained as much information as possible from people, their relatives as well as from the local authorities which paid for the care packages to ensure they had enough information to enable them to meet people’s needs.

We did not look at Delivering evidence-based care and treatment during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at How staff, teams and services work together during this assessment. The score for this quality statement is based on the previous rating for Effective.

People told us they were supported to maintain good health. They had access to a number of health care services within the community.

Staff told us that they monitored people's health and welfare and reported any concerns to the management team who made referrals to health care professionals where required.

The registered manager worked closely with other health and social care professionals. People's health needs were monitored and reviewed as required to ensure staff continued to meet their changing needs. People were supported to access routine medical support from healthcare professionals such as GPs, to ensure their health and wellbeing was maintained.

We did not look at Monitoring and improving outcomes during this assessment. The score for this quality statement is based on the previous rating for Effective.

A person told us they could make their own choices and give consent to staff to support them in any areas such as personal care. Relatives said that the staff involved them around decision-making as part of the best interests process as well as attending Mental Capacity Act 2005 (MCA) meetings. People were able to make day to day decisions about their lives. For example, they were supported to take part in activities they liked and to spend their time as they wished.

Staff were clear of the importance of gaining people’s consent before support and care was given. Staff told us that they had received training around best interest decisions and MCA’s.

Staff knew the actions they would take if they felt a person lacked capacity to make certain decisions about their care and support. When people were assessed as not having the capacity to make a decision, a best interest decision was made involving people who know the person well and other professionals, where relevant. The provider ensured that people had up to date Deprivation of Liberty Safeguards (DoLS) in place where needed and that staff were clear how to follow them. There were regular reviews on people’s mental capacity and support plans reflected this.