ABI Homes - Dyers Mews

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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 looked at 4 quality statements under the effective section. People’s needs were assessed and regularly reviewed. Staff knew people well and promoted healthy lifestyles.

This service scored 67 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

Relative told us staff knew people very well and were able to support people in a way that best suited them. Relatives told us, “All [relative’s] needs are met. They go everywhere”, “[Staff] know all their signs and gestures. [Staff] have picked it up quickly. They understand [relative’s] needs better than any other service they have been in.” and “I think [staff] are amazing. They have given [relative] so many opportunities.”

Staff told us they had access to care plans and contributed to them when people’s needs changed.

People’s needs were assessed prior to moving into the service and kept under regular review. Changes we made in partnership with people and those important to them when needed.

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.

Relatives told us people were supported to maintain good health. Relatives told us, “[Staff] do their best with his diet as he will only eat certain things. The do a health check once per month and he visits the GP regularly” and, “[relative] is trying a variety of different things. No concerns about their diet or health”, [Relative] goes out walking regularly and shopping.” During our visit one person told us they were going out for a run, staff supported the person with this activity and when the person returned, they told us they had enjoyed the exercise.

Staff told us people were actively encouraged and supported to make healthy choices to promote their health and wellbeing.

Support plans included information about peoples current health and included goals to help improve health, for example in relation to nutrition. The provider also produced materials accessible to staff and people; “Wellbeing Wednesdays” focused on a different topic each week to provide information around physical and mental health topics with links to further support if needed.

Relative's told us they were involved in their relatives care and support and were able to provide feedback to contribute to improving outcomes for people living in the service. One relative told us, “Meetings are held and we get paperwork to ask how the year has gone. It feels almost like a family, and he is very settled. They are good at listening, and I can make suggestions. I can approach the manager.”

We saw that support was responsive to people's changing needs and staff recognised how to adjust the care provided dependent on whether a person was having a good or bad day. Staff knew people well and this allowed them to change their approach accordingly.

The provider promoted care and support that enabled people to live as they wanted to. One person was being supported by a personal advisor to enable them to have independent advocacy. This allowed the person to share their day to day concerns or worries and provided them with a means of support to put plans into place to support them with their goals.

People were given choice and supported in the least restrictive way. Relatives told us people’s views and wishes were respected. One relative said, “They are a benchmark of what residential care should be like. [Relative] is listened to, and all their opinions are taken on board. I am so glad [relative] is there.” Another relative told us, “He goes out and about. He can do what he wants every day of the week.”

Staff we spoke with had a good understanding of the Mental Capacity Act (MCA) and told us they always asked people for consent before they undertook any task and always respected people’s decisions. We saw people were given choices throughout the day, staff respected people’s personal spaces, for example, by asking permission before entering bedrooms. We saw people were asked throughout the day what they would like to do and encouraged people to make their own decisions.

Where people were unable to make their own decisions, MCA assessments were completed and involved the relevant people. Decisions were made in peoples’ 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.