Nucare Group 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.

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.

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. Initial assessments were carried out prior to care packages commencing. These assessments involved health and social care professionals where appropriate, to gain a wider picture of people’s needs. Regular reviews of care, for example when people’s needs changed or following any incidents, helped to ensure care plans and assessments were kept current and reflective of people’s needs.

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’s dietary needs, including cultural needs, and preferences were assessed and planned for. Staff were supported through regular supervision and training to deliver care and support to people which was in line with good practice guidelines and standards. The provider worked positively with local partners to implement good practice and keep up to date with new ways of working.

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. We saw evidence of working with health professionals and partners to improve outcomes for people. One partner told us, “[We] work in partnership to overcome issues affecting care support.” Staff told us they worked well as a team and support was in place to enable them to be effective in their roles. One staff member told us, “I would say we all work well together, and support teach other as a team. I love working for Nucare and always feel part of the team.”

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. We saw evidence of joint working with partners and visits from healthcare teams. Evidence was available in care records and other documentation that guidance and recommendations from health professionals were communicated to staff and implemented into practice.

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. Care plans were reviewed and updated to reflect any changes to care and support. Daily notes and records were completed to monitor people’s health and wellbeing. One relative told us, “I can see any changes immediately on the ‘Birdie App’ (Electronic Care Recording System). Any parts of [person’s] routine are added to it immediately.”

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. The Mental Capacity Act 2005 (MCA) provides a legal framework for making particular decisions on behalf of people who may lack the mental capacity to do so for themselves. The MCA requires that, as far as possible, people make their own decisions and are helped to do so when needed. We found the service was working within the principles of the MCA. One care record needed clearer information on capacity and decision making. The provider actioned this immediately and agreed to review all records to ensure information around capacity was clear across all sections of people’s care plans. Staff received training in the MCA and understood the importance of ensuring that people fully understood what they were consenting to, and the importance of obtaining consent before care was delivered. One staff member told us, “I gain consent verbally through spoken words and if they are unable to give verbal consent this is done nonverbally by body language and actions.”