Mitcham

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.

This is the first assessment for this newly registered service. This key question has been rated 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.

People, and their relatives where appropriate, were involved in assessing their own or their loved ones needs, and in developing and agreeing their care plans and risk assessments. People’s assessments included information about their personal histories, interests and hobbies, religion and culture, along with information about their health, care and communication needs.

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.

People’s care plans were outcomes based and included information about maintaining their independence as much as possible. They included guidance for staff on delivering the best care possible in relation to people’s individual needs and choices. Staff were provided with opportunities to discuss current good best practice at regular supervisions and team meetings.

The provider worked well across teams and services to support people.

Information provided by other professionals was included in people’s care plans. The service is new, and at the time of our inspection people had not moved to or from other services. However, the registered manager understood the importance of sharing assessments and other information, with people’s consent, where there was any change of service or provider.

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.

People were supported to mobilise and maintain self-care skills as much as possible. Staff were able to support people at health appointments where required. Information about people’s health and wellbeing needs was included in their care plans along with guidance for staff on meeting these.

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’s care plans focused on the importance of maintaining their skills and independence as much as possible. These were regularly reviewed and updated if there were any changes in people’s needs. Staff understood the importance of monitoring people for any physical or behavioural changes which might indicate a health condition or loss of skills or cognition.

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

People, and their family members where appropriate, were involved in the assessment and planning of their care and support and understood their rights around consent. Staff understood the importance of seeking consent before carrying out care and support tasks with people. The service had carried out capacity assessments with people. These followed the principles of the Mental Capacity Act 2005 (MCA) and associated guidance. The service’s policies and procedures reflected current best practice in relation to capacity and consent.