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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

The registered manager went to visit people in their own homes and assessed their needs. Staff discussed with people living at the home who they would like to live with, and people were invited to come and spend time at the home prior to moving in. The registered manager and staff understood the principles of the MCA. Where necessary, the provider had applied for appropriate authorisations in a timely manner, which meant people were not deprived of their liberty unlawfully. They sought advice from the local authority's DoLS team to ensure they followed guidance appropriately. Mental capacity assessments were in place and regularly reviewed and the care plans clearly reflected the support people required to make decisions.

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's needs were assessed and planned for. Each person living at the home had a one-page profile which recorded what house mate they would like to live with. This information was used as the foundation for considering new referrals. The registered manager assessed people's needs prior to them moving into the home. This was done by a visit to the person and then they were invited to come and spend time at the home.

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 plans contained information about consent. People or their representatives had signed these forms. People told us, staff also asked before they helped them. During our visit it was clear staff understood the need to gain consent. We observed staff asking permission before supporting a person to eat their meal.

The registered manager and staff told us they made sure they asked people for consent before supporting the person with care. One staff member said, “ We also involve the person and if required their family and we are always watching out for body language, We get to know that resident and we involve them.”

The provider had clear policies and guidance in place to ensure people were supported in line with the Mental Capacity Act 2005 (MCA). Where people were unable to make their own decisions, MCA assessments were completed and involved the relevant people. Decisions were made in people’s best interests and the least restrictive options were considered. Where people needed to be deprived of their liberty, the provider had applied for the required authorisation with the local authority.