ELSI (SW) LTD

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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

We reviewed all 6 of the quality statements in this key question.

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 relatives told us an assessment had been completed before they started using the service and staff had a good understanding of people's needs.

The registered manager told us they completed a full assessment of people’s needs before people used the service. In addition, the local authority assessment of needs was also obtained to provide further guidance for staff teams.

Professionals who had visited the service told us that people were in control of their daily lives and enabled to make their own choices. People had been involved in decision making meetings and supported to express their views.

Records demonstrated people’s needs were assessed with them before they started using the service. Assessments were regularly reviewed to ensure the level of support remained correct.

People told us they were supported to plan their own meals and cook themselves where possible. We observed people preparing their own light meals with safe skills and confidence.

Staff had been provided with specialist training for people with a learning disability. Staff told us this training had been very good and provided them with knowledge on how best to communicate with autistic people.

The service had information about people’s specific health conditions from specialist organisations and used these when planning people’s support. These helped to ensure care was planned in line with current best practice guidance.

People and relatives had confidence in staff teams working with external agencies where needed.

Staff used a handover form to record information that needed to be shared across the team. Staff told us there was good communication amongst the team and we observed staff working together to meet people's needs.

Healthcare professionals told us staff and management teams worked well to make sure people’s needs were known and understood by others.

People’s care records demonstrated staff worked with other services to ensure their needs were met effectively.

People told us they were involved in discussions about their health needs. People understood what needs they had and what support they needed from staff. People told us they appreciated staff supporting them to visit healthcare professionals.

Staff told us they were aware of people’s health needs and had the guidance they needed to provide effective support. Staff attending health appointments made sure guidance or changes to support were recorded accurately and shared with other staff.

Professionals who had visited the service told us they had observed staff supported people to eat healthy diets and take an interest in their health and wellbeing. People had told professionals they were able to access healthcare appointments.

People's care records demonstrated they had been supported to access relevant health services, including GP and specialist nurses.

People told us they had the support they needed from staff to monitor any health conditions.

Staff told us they listened to healthcare professionals and where needed supported people to carry out any monitoring of health. Staff knew about monitoring for specific health conditions such as diabetes.

The provider used an electronic care planning system which staff could access any time to read all guidance needed. One person had plans which stated their fluid intake should be monitored due to their specific health needs. Records demonstrated the person was being supported to take fluids regularly. However, the amount of fluid had not been recorded. There was no indication the person was harmed, and the director said they would amend the system to ensure specific fluid amounts were recorded.

People were supported to make their own choices day to day. People had capacity to be involved in all decisions around their care and support.

Staff demonstrated a good understanding of the need to obtain consent and be respectful of people’s choices. Staff were aware of the principles of the Mental Capacity Act 2005 (MCA) and how it applied to their work.

Staff had completed training in the Mental Capacity Act 2005 (MCA) and the provider had a policy and procedures to support staff. Records demonstrated people had consented to their support plans.