Fiveways

On this page

• Overview
• Kindness, compassion and dignity
• Treating people as individuals
• Independence, choice and control
• Responding to people’s immediate needs
• Workforce wellbeing and enablement

During the assessment we looked at the quality statement ‘Independence choice and control’. We found people were supported to be as independent as possible in their everyday lives. People were encouraged to have control over their lives and staff worked with people to achieve 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.

We did not look at Kindness, compassion and dignity during this assessment. The score for this quality statement is based on the previous rating for Caring.

We did not look at Treating people as individuals during this assessment. The score for this quality statement is based on the previous rating for Caring.

People received kind and compassionate care and were supported to make choices and be independent. People told us they took part in regular daily activities such as shopping, washing-up, laundry and tidying their room. One person proudly showed us their room which they had decorated beautifully according to their own style. This person said they often liked to change the wallpaper in their room and that staff were always happy to help them. Relatives told us staff were caring, respectful and genuinely interested in the health and welfare of their family member. One relative said, “It is a wonderful place. It is homely and they care about every little thing”. Social care professionals commented positively on how staff enabled people to have independence and control. Comments included, ‘He is encouraged to be as independent as possible and to make choices for himself as much as he can’; and ‘The staff are always helpful, kind, caring. People’s dignity and wellbeing is at the centre of the manager and staff’s operations throughout.’ People explained to us how they were encouraged to be independent and staff respected their choices with regards to this. For example, one person told us they did not like to cook but took it in turns with others to do the food shopping. They also explained how they loaded the washing machine with their dirty clothing and hung it up to dry with staff support. People explained to us they took part in a variety of hobbies and activities at home and in the local area. For example, one person explained they were going to a local club for the day and would have their lunch in a nearby café. They were looking forward to going. Another person had chosen to go out to a local town to do some shopping. They had decided some areas of the town were too busy for them and had agreed with staff where they would do their shopping.

All the staff we spoke with described people as individuals and were able to tell us what people were able to do for themselves. They explained how they promoted some people to complete particular tasks and assisted them with other tasks. For example, staff told us how they prompted one person to join in with an activity by doing the activity themselves. This gave the person the confidence to join in. They told us what the person’s favourite things were to do and these were part of their regular routine. The registered manager told us about the support they offered people when people wished to move on to other services. This included keeping in touch with funding authorities to remind them of people’s wishes.

We observed people were relaxed in the company of staff. Staff were skilled in enabling and encouraging people to express themselves and make their views known. In conversations with the inspectors staff remained vigilant and allowed people to communicate as much as they were able to for themselves. Staff only joined in when people turned to them for reassurance. When people were seated, staff got down to their level so they could maintain eye contact for easier communication.

There was an open visiting policy and people’s friends and relatives could visit people whenever people wished. People were also supported to visit friends and family. Visits varied from a few hours to a few weeks. Each person had an activities programme which they had developed with staff. Some plans were flexible while others were consistent to support people to understand what would happen when. This reassured people.

We did not look at Responding to people’s immediate needs during this assessment. The score for this quality statement is based on the previous rating for Caring.

We did not look at Workforce wellbeing and enablement during this assessment. The score for this quality statement is based on the previous rating for Caring.