DCI 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 – 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 requires improvement. At this assessment the rating has changed to Good. This meant people’s outcomes were good, and people’s feedback confirmed this.

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.

There was a thorough care plan in place for all people. The care plans were thorough and comprehensive, recording all aspects of a person’s needs. Where people had complex needs the care planning was detailed, covering for example, use of equipment to aid mobility, medication where the responsibility of the service to administer, the person’s psychological state and their support, and detailed planning of daily activities.

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 had access to nutritious food which reflected their preferences. For example, where a person had specific nutritional needs, their food intake was continuously reviewed about both what the person liked and was prepared to eat, and by keeping detailed records of what they ate. These processes ensured their nutrition was always maintained at a safe level.

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.

The provider and service manager were involved in regular multi disciplinary meetings where required to support people with improving their mental and physical health.

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.

One person with complex needs had been supported consistently and effectively by the service, such that her health had improved significantly over the time that the service had been providing support. All elements of the person’s life and health had improved with the support of the service.

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.

A staff member told us they provided holistic support to a person when they provide live in care. The person’s wellbeing had significantly improved by the service supporting them to go out for activities, giving the person, physical and emotional stimulation. The staff member had successfully gone with the person on the train, while the person used their wheelchair. It was evident the staff member really enjoyed being with the person and the matching process used by the company had been a success. The staff member said, “When I’m there (the person) is smiling.”

Staff told people about their rights around consent and respected their rights when delivering care and treatment. However, leaders’ knowledge of the Mental Capacity Act 2005 (MCA) and how this worked in community settings was not thorough.

Where necessary, mental capacity assessments were completed in line with the MCA. Leaders understanding of the MCA was limited but records improved, and learning plans were made, between the first and second site visit, to improve service leaders’ knowledge in this area.

A relative of a person receiving the service told us, “Yes, they explain everything before anything happens. They are very patient with mum and they explain everything.”