Sugarman Health and Wellbeing - Liverpool

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 were assessed prior to them joining the service. The management team ensured subsequent assessments of people's needs were completed to reflect changes in people's care. Where required, people were assessed by external healthcare professionals including psychologists and speech and language therapists. People were supported in accordance with the Mental Capacity Act. Staff supported people to undertake mental capacity assessments and applications to deprive people of their liberty were made where required. Staff understood the concept of consent well and enabled people to make their own choices and decisions.m

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 and their families were involved in initial assessments and discussions about people's care plans. There was a process in place for detailed assessments to be undertaken prior to the person coming to the service. The provider sought people's views through a survey and updated them with the outcome via a newsletter. The most recent had identified more regular reviews with people were required, and the manager was taking action to introduce this.

The providers quality team told us they had planned to increase reviews of people's needs and care delivery going forward. The manager told us they undertook assessments of people's needs before they joined the service. Staff appeared to know the needs of the people they supported well. They knew how to keep people safe, what their likes and dislikes were and how best to support them with their health needs.

People's needs were assessed prior to joining the service, and this was reviewed frequently as their needs changed. People received assessments and input from external professionals such as epilepsy support, psychologists and speech and language therapists. This information was incorporated into people's care plans and the delivery of their care was amended accordingly.

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 staff enabled them to make decisions and they were able to make choices. They told us, "The staff know us and we have good relationships. We are free to do what we want to do" and "I like to stay up late and watch TV". People knew what levels of staff support they needed and were able to access activities at home and in the local community. During the assessment, we observed staff asking for consent before providing care.

Staff understood the concept of consent well and what this meant for people's care, as well as receiving training in this area. They said, "[Person] has capacity to make some decisions and we respect those decisions", "We give [person] lots of choices. We offer them lots of things and let them decide" and "The person I supported was deemed to have capacity to manage their own medicines". Leaders told us, "Whenever someone joins the service we ensure they sign a consent to care form where needed. Where they cannot, we make sure we have evidence of any lasting power of attorney or court of protection documents. We try to support people to make decisions where they are able to".

Care planning processes contained the required information relating to consent and the Mental Capacity Act. This included mental capacity assessments, best interests decisions and applications to deprive people of their liberty where appropriate. Where people's family members held legal responsibilities regarding decision making, this was recorded and incorporated into people's care plans. Where people had support from more than 1 staff member, there were plans in place to reduce this to ensure the person's care was still safe, but was the least restrictive option.