EveryDay

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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

The service was effective and has been rated good. People’s care was assessed and used to develop plans of care and risk assessments. Some improvement was required to ensure people’s care records were up to date and detailed enough. Staff planned and delivered people’s care and treatment with them, including what is important and matters to them. Staff supported people to manage their health and wellbeing in ways which maximised their independence, choice and control. The staff routinely checked people were satisfied with the service. The registered manager ensured people experienced positive outcomes from the support the service offered. Staff worked with local healthcare professionals and sought advice when required. Staff had received training around the Mental Capacity Act 2005 and associated code of practice.

This service scored 71 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

People had their needs assessed prior to using the service. These covered their main areas of need but were not always updated as needs changed. Most people told us they had some involvement in this assessment, but some told us they were not consulted. People’s comments on this included, “We went through everything at the beginning.” and “Yes, we went through every step.” However, some people, or their relatives, said they were not aware of the care plan. Their comments included, “I have never seen [person’s name] care plan, there always seems to be a problem why I can’t see it.” and “I wasn't involved, I don't know fully what the care plan involves.” Athought most people gave positive feedback about assessments we could not be assured these were always accurate and up to date.

Staff told us assessment of needs took place. However, we had mixed feedback from staff about how detailed or up to date these were. Some staff told us they had information about people's needs. A staff member told us, “There is not enough information regarding people’s care requirements or needs or personal preferences. There used to be when we were pen and paper but now, we have gone digital. Not all information is current, up to date or even on-line.” Leaders told us they were working on the digital transformation programme and had prioritised moving records to the new system based on risk. Tasks for staff to complete with people and people's preferences were updated first. Other care records would be moved across to the new systems in a timely way and when staff had completed training on this.

Process supported people to have their needs assessed before support commenced. These assessments fed into care plans and risk assessments. Although assessments were being completed, they did not always reflect current needs and needed some improvement. Information in care plans and risk assessments did not always guide staff to provide safe care and treatment for people. This was due to information not being fully recorded or transferred between records. Audits in place had not identified inaccuracies and omissions in assessments, care plans and risk assessments.

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.

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