P.S We Care 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

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 registered 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.

People and relatives confirmed they had been involved in the assessment of their needs before they used the service, which were reviewed and updated when their needs changed. One person said, “I had someone who came to see me before I had the care and asked what I needed and how I liked it doing.” People told us the staff knew them well and understood their needs and preferences. One person said, “Staff know me well, I haven't been having them [staff] for too long, but they talked about what I needed before they came in and they help me perfectly.”

Staff we spoke with confirmed they knew people well and knew how to support them in line with their needs. Staff felt people’s care records included detailed information to help them provide support in line with people’s needs and conditions. The records we reviewed contained information about conditions specific to the individual and how their conditions may affect their health and wellbeing

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.

People told us staff supported them with the preparation of their meals and always ensured they had enough to drink. One person said, “The staff are really good and always leave me a drink before they leave.”

Staff explained how they supported people to manage their risks and how they provided care in a way people preferred. Staff confirmed the care plans provided all the information they need to support people effectively.

The provider ensured staff had information on people’s individual conditions within the care records, so they were able to support people effectively. Staff confirmed they had read these and told us they received training to manage people’s specific conditions when needed.

Care plans had been developed from assessments and contained details of people’s diverse needs and preferences. For example, 1 person required their meals and drinks prepared in a specific way following a Speech and Language Therapist assessment, which was documented to ensure staff had guidance to follow. The records showed the support provided was in line with current guidance, including the characteristics under the Equality Act 2010, such as age, disability and religion.

The provider worked well across teams and services to support people. They made sure people only needed to tell their story once by sharing their assessment of needs when people moved between different services.

People and their relatives confirmed staff visiting them were consistent and shared information to meet people’s needs. One person told us, “I get the same staff, and they all know what I need and how I like things doing.”

Staff members we spoke with felt they worked well as team and with other services to ensure people’s needs were met. The records detailed the information passed between different services, such as health professionals regarding people’s care needs and preferences.

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

People confirmed staff supported them with their independence and to manage their health and wellbeing. One person said, “The carers ask what I can do as each day can be different and they know when I need help, so I can still manage to do little bits for myself.”

People’s care records showed they were referred to health care professionals when needed to support their wellbeing and help them live healthy lives. One relative said, “Staff let me know if my relative is unwell or need to see a doctor. Staff will ring and book an appointment too.” Another relative told us, “When my relative needs to attend health appointments the staff vary the visit times to fit in with my relative’s needs, they are really accommodating and always move things around so my relative still gets the support they need.”

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.

People and relatives, we spoke with confirmed staff monitored their care and needs and raised any concerns as they identified them. One relative said, “I am always invited to be involved in my relative’s care, so we can all discuss how things are going and if any changes are needed.”

Staff monitored people’s needs and raised concerns as and when required. Staff told us they completed daily records to monitor any changes in people’s needs, which were read by all staff to ensure they were aware of any changes.

The provider completed reviews of people’s care records. However, some improvements were needed to ensure records were updated as soon as changes had occurred in people’s care to ensure people received consistent support. This had not affected people’s care as staff knew people well and changes had been communicated between staff through daily records. The provider acted on the feedback we provided immediately to ensure the care records were updated.

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

We checked whether the service was working within the principles of the Mental Capacity Act (MCA), and whether any conditions or authorisations to deprive a person of their liberty had the appropriate legal authority and were being met.

People and relatives told us staff gained their consent before they provided support, and their records contained information about their ability to consent to their care. One person said, “The staff always ask me what I would like them to do before they help me.” A relative said, “The staff always ask consent before supporting my relative, I have been there and seen them do this.”

Staff told us they always gained people’s consent before they provided support. One staff member said, “I always ask people what they need and gain their consent before providing care. If I had any concerns about a person’s ability to understand their care, I would inform the office who carry out assessments.”

Staff received training to ensure they understood their responsibilities under the MCA and explained what this meant for people receiving support. The provider had a good understanding of their responsibilities which ensured people were supported in their best interests and in line with the MCA.