Fiveways

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

During the assessment we looked at how people’s needs were assessed and consent to care and treatment. We found people continued to be supported positively and staff provided a good standard of care. Staff understood people’s needs, preferences and choices and we observed people being supported in the way they preferred. People were supported to make as many choices as possible and staff respected their decisions.

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 told us staff knew important things about them such as what they liked to do and when they needed help and support. People told us that sometimes they enjoyed the company of staff and other times they liked to have their own space and staff respected this. One person told us, “When I’m upset staff understand. They know when to talk to me and check I’m OK and when to leave me alone”. Relatives said they were involved in their family members care and were always kept up to date with changes in people’s care needs. One relative described the positive ways staff had supported their family member when they first moved to Fiveways. “Staff bent over backwards as he was very upset about the move. They took a lot of time settling in but staff were very calm and persevered with him.” We received positive feedback from social care assessments about how people’s assessed needs were met. One social care professional commented that the manager, ‘Has a good understanding of the person and has taken the time to get to know him’. Another social care professional stated that they were, ‘Always kept in the loop about medical and mental health input and any plans being discussed around his well-being’. One person told us they had met the registered manager before they moved into the service. They told us they had been unable to visit but the registered manager had shown them pictures and told them about the other people who lived there. They told us they felt settled at the service.

The registered manager explained to us how they assessed people to ensure staff could meet their needs and they would get on well with other people using the service. This included reviewing information shared by professionals working with the person and spending time with the person to get to know them.

Preadmission assessments had been completed before people were offered a service. The registered manager met with people and professionals who supported them to gather information about people’s needs and wishes. This helped them to ensure staff had the skills they required to meet people’s needs. People’s care plans were reviewed regularly to make sure they continued to reflect people’s needs and goals. Assessments were comprehensive, they focused on people’s strengths as well as where they needed support. For example, for one person their strengths were a good sense humour, expressing her feelings, making cards, jigsaws. The assessment also included people's everyday skills such as independent living, for example, tidy room make bed, vacuum, change bedding, do laundry, tidy kitchen. Also how to praise people in a way they responded too, this encouraged people to remain as independent as possible and learn new skills.

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.

We did not look at Supporting people to live healthier lives during this assessment. The score for this quality statement is based on the previous rating for Effective.

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.

People were supported to make informed choices and encouraged to make decisions as much as they could for themselves. Staff checked with people before providing care and support to gain their consent. One person told us how they chose to spend their money. They explained how they saved some money for trips and holidays and spent some money each day on things they wanted. They told us they had saved to visit a local zoo and had enjoyed their trip.

Staff told us people had their own routines and chose what they wished to do and when. They explained some people did not need support to make decisions while other people were offered choices in ways they understood. For example, staff showed one person different options and they pointed to the one they wanted. The registered manager explained to us how they involved people’s families, advocates and health care professionals in making decisions in people’s best interests. This included care and treatment, as well as other areas of people’s lives such as how they spent their money. For example, one person has requested to go on holiday abroad. The registered manager had discussed this with their family, advocate and social worker. It was decided the holiday was in the person’s best interests and they had a wonderful taking part in activities they had chosen. Other people had received treatment in their best interests which had improved the quality of their lives.

Effective processes were in operation to understand people’s capacity to make decisions. Where people lacked capacity best interest decisions had been made on their behalf by people who know them well. For example, staff, family or advocates and health care professionals. Care records contained information about the support people needed to make decisions. Such as being shown a limited number of options at a time. The registered manager had applied for DoLS when there was a risk people were being restricted. These had been granted. The provider was in the process of putting a DoLS tracking process in place to ensure new applications were submitted in time and any conditions were complied with.