Adam House

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. Relatives told us they were not always involved in the developing of their loved one’s care records. Staff knew people well, but some care records needed to be more detailed. Relatives felt their loved ones got to make choices and people told us they were asked for consent before support was provided and consent forms were in place.

This service scored 71 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

Relatives did not always feel they had been involved in developing their loved one’s care plan. Two relatives spoke about their loved one having limited privileges (such as restrictions on certain activities due to their behaviour). One relative felt sometimes there was an inconsistent approach to their loved ones care.

Staff told us that managers created the care plans with the input of people which conflicted with the feedback we had from relatives. Staff knew people well and were able to describe people’s likes and dislikes. Staff spoke to us knowledgeably about person centred care. One staff member said, “It is about treating each person different in a way that meets their needs.”

People had pre assessments in place. Care records were person centred and people had signed to show their involvement in their care plan. Care plans had an all about me section detailing information on each person, though some aspects of care plans needed to include more robust information to guide staff on how to safely care for people. For example, one person’s care plan did not include the necessary ligature information in their support plan.

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.

Relatives told us they thought their loved ones got to make everyday choices, one relative said “Yes (I think they get to make everyday choices). Like showering and clothes and washing up, yes.” People told us they were asked for consent before care was provided. Relatives told us that their loved ones were being supported to use advocates when required.

Staff spoke to us about gaining peoples consent before completing tasks and what they would do if someone refused care. One staff member said, “Yes, we ask if they (people) want help or if it is ok before we do something.”

Consent forms were in place for certain aspects of people’s daily life, but this needed to be more robust. However, people signed their care plans as a way of consent to care. Records relating to consent were strengthened during our inspection. Mental capacity assessments had been carried out and people were supported to access advocacy when needed. Advocate details were available in people’s care plans, and it was evident that people used advocate services to support them when needed.