Famille House

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 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. Staff took time to meet people, their relatives and those involved in their care to understand what was important to them prior to any admission to the service. The registered manager told us they considered the impact of every new admission on existing people within the service as part of any assessment process.

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 demonstrated they understood best practice. For example, following health professional advice and guidance and promoting positive risk taking to support people’s independence. We saw people were supported to have food and drinks of their choice. Though there were no visual references to food choices, we saw staff consulted with people to provide options and support them to make choices.

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. For example, staff worked with a range of agencies including health and social care professionals to support people to achieve positive outcomes. People’s care plans detailed their personal goals and aspirations, including maintaining social links with peers and gaining more independence.

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. They told us, “We noticed [Name] was quite isolated and not happy. Their medication has been reviewed and changed with the GP and it really seems to have helped them a lot. They are now much happier to come and be with the other people downstairs whereas before, they used to stay in their room most of the time.” We saw people were supported to have food and drinks of their choice. Though there were no visual references to food choices, we saw staff consulted with people to provide options and support them to make choices.

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 had goals and aims recorded in their care plans. For example, one person had the aim of maintain their health and well being. Staff supported them to attend essential weekly health appointments and to maintain regular contact with relatives and peers to achieve this outcome. Where a person’s health was declining, staff monitored care and support in line with best practice to help them stay as comfortable as possible.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. Records showed people’s capacity had been assessed in line with the Mental Capacity Act and staff followed best interest decision processes when needed. Some people did not use words to communicate. Staff used visual prompts and gestures to support meaningful decision making. Staff told us how they respected people’s right to decline care while encouraging them to maintain their well-being and this was evidenced in people’s daily care records. One commented; “We are very respectful of peoples’ choices; it is their home.” Staff ensured people did not have any unlawful restrictions on their right to freedom and liberty.