Aspirations Support Bristol

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

Assessments were completed for those who were considering using the service. The information supported the registered manager and prospective client to decide whether the service was suitable, and their needs could be met. Care and support was reviewed and evaluated so that people received a service that was effective, responsive, and person centred. Staff had a good understanding of the providers consent policy and the importance of respecting people’s choice and preferences and asked for their consent when offering support.

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.

Staff understood the importance of ensuring people fully understood what they were consenting to and the importance of obtaining consent before they delivered care and support. Staff gave examples where capacity could fluctuate and that on occasions people might not consent to the support they were being offered, for example to have a shower. When this happened staff would respect their wishes and try again later when the person may be less resistant. Where people lacked capacity or were reluctant to consent to support, staff had the knowledge and skills to consider what would be in the person’s best interest and take appropriate action to help protect them.

Policies, procedures, and training equipped staff with the knowledge to understand people’s capacity and the importance of gaining consent from those they supported. The management team was key in ensuring staff understood the Mental Capacity Act 2005 and that capacity assessments should be completed before gaining consent and regularly reviewed. Obtaining consent was a process that continued throughout the duration of care and support and all staff understood this was fundamental in ensuring and promoting person centered care.

People received information about care and support in a way they could understand and had appropriate support and time to make decisions. Their capacity and ability to consent was always considered, and they, or a person lawfully acting on their behalf, were involved in planning, managing, and reviewing their care. Support where required was provided by relatives, significant health and social care professionals and if needed an independent advocate.

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’s care and support records confirmed that initial assessments had a positive impact for people and staff. The assessments helped ensure staff knew people prior to receiving a service and gave them a good insight of the individual, their past medical history, dependency and support needs, likes, dislikes and personal preferences.

People and their relatives confirmed that assessments were completed, and support plans were developed following any initial assessment and ongoing revaluation. This helped ensure expectations were met and that support remained meaningful to people.

The management team and senior staff completed a thorough assessment of those people who were considering using the service. In addition to the individual, every effort was made to ensure significant people were also part of the assessment. This included family, hospital staff, GP’s, and social workers. The information gathered was detailed and supported the registered manager and prospective service user to decide whether the service was suitable, and their needs could be met.