The Holt

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 inspection we rated this key question good. At this inspection the rating has remained as good. This meant the effectiveness of people’s care, treatment and support enabled them to achieve good outcomes.

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 received effective support because their health, wellbeing and communication needs had been assessed and reviewed regularly. Although people were not able to contribute directly to assessment processes and reviews, those who knew them well such as relatives and external professionals, were able to contribute on their behalf. Feedback from relatives and external professionals indicated they were fully involved in the processes and their views were listened to. Staff told us how understanding people’s communication needs were key to ensuring assessments were accurate and that the subsequent care and support worked well for them. Communication assessments were clearly documented and supported by detailed care plans.

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.

Staff respected people’s rights when delivering person-centred care and support. They understood people’s communication styles very well, including when they declined any aspect of support, and responded appropriately. Staff understood the principles of the Mental Capacity Act, 2005 and encouraged people to make decisions and choices about their daily lives wherever they were able to do so. Staff used communication aides such as picture formats and objects of reference to help people with making choices and decisions. Mental capacity assessments and best interest decision records were in place to support people when they were not able to do so.