- Homecare service
Harley House Supported Living Ltd
Report from 16 October 2024 assessment
Contents
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
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. This is the first inspection for this newly registered service. This key question has been rated good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.
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.
Assessing needs
The service made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them. There was a trauma informed approach to understanding people’s needs throughout assessment and review. The registered manager told us, “We offer bespoke training to the staff who are about to commence supporting someone new. This often involves family and professionals sharing valuable information with us as a new provider. We will go through support plans and risk assessments, and the individual support the person wants or requires.” This meant staff had the skills and knowledge to support people’s assessed needs.
Delivering evidence-based care and treatment
The service planned and delivered people’s care and treatment with them, including what was important and mattered to them. They did this in line with legislation and current evidence-based good practice and standards. People had access to nutritious food which reflected their preferences. A person’s relative told us, “[Person] is not on a diet, but eats healthily. [Person] has fruit as a snack. Good healthy, planned meals.”
How staff, teams and services work together
The service worked well across teams and services to support people. They made sure people only needed to tell their story once by sharing their assessment of needs when people moved between different services. A professional who works with the service told us, “In my experience, and that of my team, Harley House Supported Living works well in partnership with others, whether they are the patient [person], family, specialist services or as part of a wider MDT. The outcomes of their input have enabled patients [people], to explore the community and promote independence by undertaking life skills that they have not yet previously undertaken.”
Supporting people to live healthier lives
The service supported people to manage their health and wellbeing to maximise their independence, choice and control. The service supported people to live healthier lives and where possible, reduce their future needs for care and support. A relative told us, “[Person] keeps fit and healthy by going the gym, [person] loves to box.”
Monitoring and improving outcomes
The service routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they met both clinical expectations and the expectations of people themselves. A relative told us, “All needs are monitored.” Records confirmed this to be the case. People’s skills, life experience and strengths were discussed with them and those involved in their care, to consider how people’s goals, ambitions and outcomes were planned and achieved. A staff member told us, “We supported a person and introduced public transport. I helped with the risk assessment prior to taking the person we support out. It was successful and now the person can access trains and buses and now can enjoy the activities the person is happy to partake such as swimming and going to shops with staff members.”
Consent to care and treatment
The service told people about their rights around consent and respected these when delivering person-centred care and treatment. This was clearly recorded in care plans. For example, a person’s care plan stated, ‘I have capacity to make decisions for myself and this should be adhered to, just because it may not be viewed the right thing to do, I am still able to make decisions for myself.’ A relative said, “[Staff] treat [person] as an adult.”