Levitt Mill

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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 assessed 2 quality statements for this key question. We have combined the score for this area with scores based on the rating from the last inspection, which was Good. Our rating for this key question remains Good. People’s needs and preferences were assessed, and care and support was delivered in line with current standards. People had comprehensive care plans which detailed their strengths and needs and promoted their dignity and independence. People’s communication needs were assessed, recorded and planned for. People were asked for their consent before care and support was provided, and where necessary people’s capacity to make decisions about their care was assessed and recorded. Staff interacted with people, appropriately and according to their needs. This supported people to have choice and control over, and to make decisions about how they lived their lives. Where people lacked capacity to make decisions, the decision-making process was clearly recorded. There were systems in place to monitor people’s individual health and wellbeing and people were referred to other professionals and services when needed.

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 staff involved them in planning their care and support and listened to their views and choices. We received positive feedback from relatives about their involvement in the assessment and review of the care of their family members.

Staff told us they had enough information about people, and were involved in developing care plans and reviewing and updating them when necessary. People had person-centred, positive behaviour support (PBS) plans and the staff we spoke with knew people well and were able to describe their needs and how best to support them. Staff were aware of the importance of involving people in all aspects of their care and support and making sure they were meeting people’s assessed needs. Staff understood the importance of promoting equality and diversity. One staff member told us, “We get to know how people communicate, and what’s a good day looks like for them. This helps with involving them.”

During our visits we saw staff seeking consent and people making choices about their daily activities. A range of communication tools were in place to support people to make and communicate their decisions. Staff demonstrated a good understanding of the principles of the Mental Capacity Act (MCA) 2005 and people were supported wherever possible to make their own decisions. Comprehensive assessments were completed prior to people moving in. Care and support plans were person centred and described how each person liked and needed to be supported. People’s plans and assessments were reviewed regularly and included detailed information on their health and communication. Care plans included information about people's religious beliefs and their personal relationships within their circle of support. Staff were provided with training in communication including Makaton and people were given information in ways they could understand.

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 involved in decisions around their care and people indicated they were comfortable and relaxed with the staff. We saw staff seeking people’s consent during both of our visits.

Staff had a good understanding of supporting people to make informed choices and the importance of seeking people's consent. They understood people may need time to consider their decisions, and were entitled to change their minds. Where people did not have capacity to make a particular decision, this was recorded and decisions had been made in their best interests.

Staff were provided with training in the Mental Capacity Act. Records showed people provided consent in relation to their care and treatment where they had the capacity to do so. Where people were unable to make their own decisions, records of best interest meetings and specific decisions were in place. People were enabled to access support from independent advocates. The provider had systems to make sure any restrictions in place were lawful and monitored.