Castlewood Road

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 - we rated this key question as good. The service provided care that was effective so people could receive positive outcomes. People's needs were assessed so that they could receive the right level of care and treatment. People were supported to live healthier lives and maintain their health through regular checks with professionals. People's consent to care and treatment was sought. We have made a recommendation for the provider to look at best practice guidance on assessing people's equality and diversity needs. The service scored 75 (out of 100) for this area.

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.

Feedback from people showed they felt staff understood their needs. People's needs and choices were assessed when they entered the service so that the correct level of support could be determined and the necessary staffing measures were put in place. This meant people could receive care that led to good outcomes.

Leaders told us they complied with best practice guidance, in order to deliver evidence-based good practice to the required standards. This included assessing people's needs in partnership with external professionals and people's representatives. We saw evidence of training and staff updates to ensure that people's needs could be met in line with the national legislation, such as Right Support, Right Care, Right Culture. For example, people's assessments reflected their individuality, life stories, goals and aspirations.

Assessments are carried out when a person starts to use the service to determine if their needs could be supported by staff. There had been few admissions of people since our last inspection, but we saw that people’s health and support needs and their equality needs were included. People's care plans contained information about their wishes and preferences and there was consideration of people's diverse needs. The provider was working in partnership with people’s relatives, health professionals and social workers to ensure people were supported appropriately. Assessments of people’s diverse needs were discussed prior to using the service. Assessments took into account people’s preferences around their religion, ethnicity and culture. However, people's sexuality or sexual needs were not referred to in 1 person's assessment. We recommend the provider looks at best practice guidance on assessing people's equality and diversity needs to ensure all types of need were covered in this area.

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.

Staff told us they asked for people's consent at all times before providing them with support. People’s choices and decisions were respected. Leaders in the service confirmed they told people about their rights around consent and respect these when we deliver person-centred care and treatment. People and relatives confirmed the service offered choices and their consent was sought in relation to the care and support provided and that they were involved in discussions about these.

The Mental Capacity Act 2005 (MCA) provides a legal framework for making particular decisions on behalf of people who may lack the mental capacity to do so for themselves. The MCA requires that, as far as possible, people make their own decisions and are helped to do so when needed. When they lack mental capacity to take particular decisions, any made on their behalf must be in their best interests and as least restrictive as possible. People can only be deprived of their liberty to receive care and treatment when this is in their best interests and legally authorised under the MCA. When people receive care and treatment in their own homes an application must be made to the Court of Protection for them to authorise people to be deprived of their liberty. We checked whether the service was working within the principles of the MCA. We checked whether the service was working within the principles of the MCA, whether appropriate legal authorisations were in place when needed to deprive a person of their liberty, and whether any conditions relating to those authorisations were being met. People’s ability to consent to decisions made about their care were assessed and recorded. People’s care plans included the involvement of the person, their relatives or other representatives to ensure support was delivered with their consent. Best interest decisions that had been made for people were recorded and showed they were made with the assistance of people’s relatives or their advocates. Staff understood the principles of the MCA and had received training. A staff member said, "I always ask for [person's] consent before I support them."