Rebuild 4 Life Ltd

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 – 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 assessment for this 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.

The provider made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them.

The registered manager assessed people’s needs prior to commencing the service, and reviewed people’s needs regularly. Assessments were holistic and took account of all aspects of people’s health, wellbeing and communication. Assessments were uploaded to handheld devices so that staff could access information about people’s needs easily.

Assessments were worded in a person-centred way and staff documented daily notes respectfully.

A relative said, “[Relative] has a very comprehensive care plan which was done with the full involvement of us all. It is reviewed on a 6 monthly basis or if anything changes.”

The provider 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.

The registered manager planned care alongside other health and social care professionals so that care took account of all aspects of a person’s health and was in line with current good practice. Care plans were bespoke for each person and used recognised tools to assess different areas of people’s health and wellbeing.

The provider always worked well across teams and services to support people. They shared thorough assessments of people’s needs when they moved between different services, so people only needed to tell their story once.

The provider directly employed health and social care professionals such as nurses and social workers and arranged regular meetings to make sure information was shared and discussed to benefit people supported. Staff had good knowledge about people’s needs and could identify if people’s health deteriorated, making referrals to different agencies accordingly.

The provider always supported people to manage their health and wellbeing to fully maximise their independence, choice and control. Staff supported people to live healthier lives and where possible, reduce their future needs for care and support.

Staff supported people to live healthy lives, and the vision of the service was to re-habilitate people to how they lived their lives pre-injury as much as possible.

Staff worked closely with different agencies such as dieticians and made sure people’s diets were tailored to their needs, alongside respecting individual choice. Staff supported people to participate in activities that were important to them on a regular basis. Staff could provide holistic support to make sure people had a good quality of life and supported their wellbeing and mental health.

A relative told us, “The staff carry out any exercises professionals advise of to ensure [relative] receives the extra care he needs.”

The provider 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.

Staff and managers monitored outcomes according to people’s specific needs. We saw that staff monitored aspects of health such as weight, food and fluid, and mood. The service supported some people that had complex needs, and the information collected was important to make sure any actions were taken quickly to address a change in health or wellbeing. This helped make sure people were supported to stay as healthy as possible.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment.

Many people had a Court of Protection order to make sure care, and treatment was managed according to legal requirements and in a person’s best interests. Staff worked with professionals to assess people’s capacity to consent to care and treatment according to guidance.

Consent was considered throughout caring interventions, and we saw evidence of consent forms where applicable in people’s care plans. Staff understood the concept of consent and completed relevant training.