Precious Homes East London

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’s needs and rights were supported. People’s care and treatment was effective due to their health, care, well-being, and communication needs being assessed with them. People’s care plans were kept up to date with any assessments completed in a timely manner. Staff were aware of people’s preferences and respected these in a person-centred way.

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 were involved in decisions about their care. Care plans were signed by people to ensure they agreed with the support they received. Overall, relatives told us they had been involved in planning their care. A relative told us, " I feel very hands on. We are very involved. I found the multi sports and said I wanted [person] to go.”

During our visit we spoke to a person employed by the provider to support positive behaviour, assisting teams to develop plans to support people, this person was called a positive behaviour support practitioner. They told us how they worked closely with the staff team to assess what certain behaviours meant. They support the service to assess and understand people’s communication and use techniques to alleviate frustrations if a person is struggling to make themselves understood. The registered manager told us before a person moves into the service an assessment of needs is carried out by the provider who work in partnership with the local authority to ensure the right level of support is offered to each person.

People had their care and support needs assessed before they began to use the service. Assessments included life history, current history, medical needs, food and nutrition, spiritual and religious needs, sexual orientation and daily activities. People’s abilities, goals and aspirations were also captured during the assessment process. Staff had an electronic system where care plans and records were stored. This meant the management team and staff had access to up-to-date information on the day-to-day support people received.

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 were fully involved in decisions about their care and their capacity to do so was respected. People and their relatives told us the staff consistently sought their consent before providing any care or support. One relative said, "I have seen them [staff] ask [person] permission for medication." Another relative said, "Yes, they give [person] choices.”

Staff told us they placed great importance on maintaining and promoting people’s independence. They were able to explain how they encouraged and supported people to be as independent as possible and to make choices. Staff were consistent in their understanding of MCA and DoLS and gave examples about how they would support people who might lack capacity to make certain decisions. Examples included seeking consent and making decisions in people’s best interests if they were not able to give informed consent. A staff member said, “When I need to do personal care, I seek their consent and make them comfortable, also give them space and time so they feel comfortable.” Staff described how people are asked what support with such things as preparing food.

The Mental Capacity Act 2005 (MCA) provides a legal framework for making particular decisions on behalf of people who may lack the mental capacity to do so for themselves. The MCA requires that, as far as possible, people make their own decisions and are helped to do so when needed. When they lack mental capacity to take particular decisions, any made on their behalf must be in their best interests and as least restrictive as possible. People can only be deprived of their liberty to receive care and treatment when this is in their best interests and legally authorised under the MCA. The provider met the requirements of the MCA. Decision specific mental capacity assessments had been carried out for people in relation to their capacity to make decisions about their care and whether they were able to give consent. The provider held best interest’s meetings for people, which involved the person, their relatives and appropriate healthcare professionals. This helped ensure the care and support provided by staff was in people's best interest.