Selby Office

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 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The service made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them. People were thoroughly involved in all aspects of their care planning. The service undertook a detailed assessment of people’s needs and these were reviewed regularly, or when needs had changed. Staff were vigilant in identifying changes in people’s needs and appropriate provision was made in people’s care plans. One person told us, “Yes, they know what they need to do. I am very satisfied with the care.”

The service 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 received care delivered by staff in line with current best-practice guidance. The service ensured they were kept up-dated with innovation and shared this with staff. For example, the registered manager received a regular supervision from another care provider to ensure standards were consistent. All knowledge was shared with staff. For example, a recent staff meeting had focused on the language staff used when making daily care notes. Care plans contained detailed instructions for staff to ensure guidance was followed when, for example, people required a modified diet.

The service 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. Staff confirmed they were kept well-informed about people and their changing care needs. A staff member explained how they received information, “In meetings and on care management app. When it is updated, it updates on the phone, and you get a pop-up message. We cannot log in if the care plan has been updated until we have confirmed we have read the changes before providing care. It prompts you to read the care plan as it has been updated since the last time you read it.” Detailed hospital passports were available so that information could easily be shared with health partners when needed. The registered manager told us, “We have recently reminded staff about working with district nurses, we explain we are part of a wider team involved in supporting people.”

The service supported people to manage their health and wellbeing to maximise their independence, choice and control. The service supported people to live healthier lives and where possible, reduce their future needs for care and support. People’s health needs were assessed and monitored. Staff identified and recorded any changing health needs. This ensured people received the appropriate support for their health. People were supported to make and access health appointments when needed. The registered manager explained how many people had been supported to re-gain their independence following ill-health. Care plans recorded how people’s health needs had changed over time and how support was tailored to meet their reduced needs.

The service routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they met both clinical expectations and the expectations of people themselves. Care plans clearly recorded people’s wishes and what their anticipated outcomes were from the care they received. Where changes occurred people’s expected outcomes were also reviewed to ensure care was monitored and improvements made, where appropriate. A staff member told us, “If something changes, there will be a notification sent to our work phone or we find out about changes at meetings in office.”

The service told people about their rights around consent and respected these when delivering person-centred care and treatment. People had consented to their care and support. Care staff understood the importance of gaining consent at each care delivery. A person confirmed, “They always tell me what they are going to do and they communicate well with me.” A staff member said, “I’ve had the training. We are always told of the principles and how to support someone who lacks the capacity to make a decision. All of my clients have capacity, and I have not had to use this training. I would support them and give them information they need to make a decision for themselves if lacking capacity.”