7 Fairmile Drive

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 inspection for this 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 79 (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’s care plans and support reflected their needs and what was important to them. Staff signed all care plans to show they had read them and understood people’s individual needs. Relatives said they had been involved in agreeing and reviewing people's care plans.

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 were involved in planning their meals and could have the meals of their choice.

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. Professionals were positive about working with the service. Professionals were involved in the assessment and ongoing review of people’s health, care, wellbeing and communication needs. Monthly meetings were held with an education provider to ensure all parties were following the same support strategies.

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. Changes in people’s presentation, emotional state or distress which may show a deterioration in their health or wellbeing were recognised by staff. Staff took action when they identified any changes and escalated them to relevant professionals. However, there had been some disagreement between the learning disability and mental health services as to who would take the lead for one person. The registered and service managers resolved this by engaging with the person’s GP for a review. The GP was positive about how this had been managed by the registered manager.

The provider monitored all people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they fully met both clinical expectations and the expectations of people themselves. Staff introduced new ideas to people to enhance their quality of life, such as new activities and skills. Peoples support was delivered consistently by staff, in a person-centred way that was specific to their needs. Relatives said there had been positive improvements for people since moving to the service. One relative told us, “[Name’s] definitely improving. They’re getting more respectful and now they consider others. They wouldn’t do anything at all at first and now they’re getting involved a lot more.” Staff were enthusiastic when discussing people’s development and changes in people’s skills since moving to the service. A staff member said, “[Name] didn’t want to talk to people and now they can engage a lot more and has the confidence to talk about things.” A professional said, “[Name] has been more settled than I expected (since moving in) and has staffing in place to ensure they can access the community throughout the day.”

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. People made their own choices and decision on a day-to-day basis about what they did, what they ate and how they filled their time. Records included information about people’s capacity and how they were able to refuse or give consent for specific decisions.