Alabaré

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.

At our last assessment we rated this key question good. At this assessment the rating has remained good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this. We identified improvements were needed to the way decisions were recorded when people lacked capacity to consent. The provider took immediate action during the assessment to address this shortfall.

This service scored 71 (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. People and their relatives said the process for moving into the service worked well and they felt listened to throughout. The registered managers told us they tried to support people to move in slowly, with lots of opportunity for people to meet other people they will share a house with and staff. Assessments considered people’s history and how that may affect the support they need. A relative told us the service had worked very well to keep a person’s needs under review and adapting support to meet their changing needs.

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.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. However, the provider did not always follow the best interest decision making process where people did not have capacity to consent to their care. On the first day of the assessment, we identified the provider was not able to demonstrate the support they were providing was the least restrictive option to support people to stay safe. On the final day of the assessment the provider demonstrated they had considered a range of options to ensure people were being supported in the least restrictive way possible. The provider had involved people, relatives and other professionals in these assessments. The registered managers told us they had completed training but had misunderstood their responsibilities. They had made appropriate changes to the processes related to best interest decisions for staff to follow where people lacked capacity.