Newbus Middlesbrough

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 was 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 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 and their relative said that staff promoted a good quality of life and did helped people to do the things that were important to them. One person said staff showed interest in the crafts they liked to do and help them to continue with it. One person said, “The communication within the team is excellent” and “My (relative) is a former health care manager and they think the care is excellent, including their paperwork.”

Staff said they had enough information about people before they provided care to ensure they could do this fully and in line with their needs.

Processes were in place to enable staff to assess people’s individual needs before they started to receive support. These assessments formed the basis for care plans and risk assessments. Although we found some care plans would benefit from more details, people told us care provided was good. The management team were working to ensure care plans contained more detail.e is excellent, including their paperwork.”

People told us they were supported with their nutritional needs where required and any additional support from external agencies was gained. For example, from the Speech and Language Therapy team who supported people with parts of their diet. One relative said, “They are really good, I’m really happy, they look after him really well.”

Staff delivered care and treatment in line with legislation and current evidence-based good practice and standards. Recognised assessment tools were used with people to help record their personalised care needs and this helped staff to deliver tailored care.

Processes were in place to ensure care was delivered in line with best practice. This included up to date policies and procedures.

People and their relatives thought that the staff team and other services worked well together. Many comments were made on how professional the staff team were and how quickly they involved other health care professionals if this was needed.

External professionals told us progress had been made within the service and they wanted to work with the service to continue making further improvements.

Processes were in place to ensure staff participated in discussions about people and the care being provided. Polices and procedures supported staff to work together with others.

The service worked well with others, including other staff within the organisation and external healthcare professionals. External professionals told us progress had been made within the service and they wanted to work with the service to carry on making further improvements.

People were supported by staff to maintain healthier lives. Any deterioration in a person's health was acted on quickly. One relative said, “(Named staff member) checks his urine all the time because he gets regular infections. They pick it up straight away and tells me and the doctor if there is a problem.”

Staff knew people well from the information we received and were able to identify any changes in a person’s health. Staff told us they acted to support people quickly if any issues were identified.

Processes were in place to help support people live healthier lives. People’s care records helped to identify with any changes occurring and made it easier for staff to act quickly.

People and their relatives were positive about outcomes they achieved. One relative said, “Our GP has told me that they are only still here because of the good care they are getting.”

Staff supported people in ways which helped them to achieve good outcomes. Staff told us they supported people in ways they wanted and any requests for additional support was given wherever possible. The management team commented on staff being flexible and willing to go out of their way to offer additional support.

Processes were in place to gather views from people and their relatives on how they wanted their care to look like. This included outcomes they wished to achieve. For example, remaining independent.

People were asked for their consent and their decisions were listened to.

Staff supported people with person centred care and ensured consent was obtained. Some people were not able to make decisions, and relatives or supporters were involved to help them.

Processes were in place to monitor consent and ensure care was delivered in line with the Mental Capacity Act 2005. People's recorded wishes were documented.