Fanshawe Avenue

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

People were able to consent to the care they received. People's needs were assessed by the provider before the provision of care. However, this assessment process did not always cover needs related to equality and diversity. We discussed this with the provider. They told us they would ensure equality and diversity would be covered in future assessments of people’s needs.

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 told us that their needs were assessed by the provider before the provision of care. When asked if the provider met with them to discuss their needs, a person replied, “Yes they did.” A relative told us, “It was a while ago but I can remember that I did meet with someone before [person] started using the service.” The same relative added, “I have read the care plan a couple of times. They do make changes to the care plan when needed, for example after the district nurses visits and link it with the care plan as needed.”

See inspection notes. The registered manager told us people's needs were assessed before they began to use the service to ensure they could meet their needs. They explained people and relatives were involved in the assessment and care planning processes so their preferences could be incorporated.

People’s needs were assessed before they started using the service. This gave people the opportunity to discuss what was important to them with their care. Assessments included needs around personal care, communication, mobility, skin integrity, nutrition and hydration. However, assessments did not cover needs related to equality and diversity. We discussed this with the provider who revised their pre-care assessment policy and assessment needs recording tools so they covered equality and diversity.

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 told us they were able to consent to care and that staff treated them well. A person said, “They’re good at what they do, very caring. I am very pleased with them.” The same person also told us they had a care plan and they agreed with its contents. Another person told us, “I tell them [staff] what to do.” When asked if staff supported the person to be as independent as possible, a relative replied, “Yes, [person] is non-verbal so when someone else comes in this can be an issue. [Person] finger spells so they have a laminated sheet. The main carer at the moment knows [person] inside out.”

People using the service were involved in making decisions about their care. The registered manager told us, “We listen to the service user involve them in the care plan and allow them to participate. Any changes they want us to make we incorporate that.” Staff knew how to obtain consent from people before delivering care. Comments included, “We ask them if it is ok to commence. When they decline, we postpone it until they say it is ok” and “When I get there [person’s home], I communicate with them, explain what I am doing with them and get their permission.”

The provider had a policy in place around consent to provide guidance to staff and emphasise the importance of people being able to consent to the care and support they received. The registered manager told us the service did not carry out mental capacity assessments or best interest decisions for people, rather, these were done by the commissioning local authority.