ResCare

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 we found the provider had made sufficient improvement andwas no longer in breach of regulation. The rating has changed to 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. The provider considered the requirements of the Equality Act when carrying out initial assessments for respite stays and reviewed people’s needs before each subsequent stay. This demonstrated the provider had been responsive and assured they could continue to meet people’s needs safely and effectively.

Assessments were completed with the person and their relative and covered areas such as health, communication and personal care to ensure care remained personalised and responsive to individual preferences. The person told us they were actively involved in reviewing their care and could update their needs and preferences at any time, helping to ensure staff had clear, up-to-date guidance to provide safe and effective support.

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 received the care and support they required, which was evident in the daily care records. Care and support provided to people adhered to best practice guidance.

People received care and support that reflected their individual needs, preferences and choices. Care records provided clear guidance for staff and incorporated evidence-based practice, including measures and advice from health professionals to reduce risks such as falls and choking. This demonstrated the provider responded to people's changing needs and took action to support safe and effective care.

The person was supported to maintain a healthy, balanced diet and received food and drinks in line with their preferences, promoting good nutrition and wellbeing. Care records detailed their likes, dislikes, and how food and drinks should be prepared and presented. We observed the registered manager involved the person in meal planning and preparation, supporting a positive mealtime experience that promoted good nutrition and wellbeing.

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 demonstrated a commitment to safety, open communication and partnership working to ensure people received well-coordinated care and support. Staff shared information effectively through handovers, meetings, daily records and regular liaison with health and social care professionals.

The registered manager was developing positive relationships with external agencies, including commissioners, dietitians and specialist nurses, to help ensure people received the support they needed. One relative told us, “I know if [Person name] wasn’t well, they would tell me and call the GP; and keep me updated.” Records also showed the person was supported to access activities and leisure opportunities in line with their 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 were supported to access healthcare services when needed. The registered manager had a good understanding of the person's health needs and could identify changes in their wellbeing, seeking advice from GPs and other healthcare professionals when required. Records showed that professional guidance was followed, healthcare appointments were attended, and outcomes were recorded in the person's care records.

The registered manager understood the person's food preferences, dietary needs and associated risks, and promoted healthy eating to support their health and wellbeing. The person told us, “I don't like fruit and vegetables, but I'll eat potatoes, chips and bananas.”

Hospital passports were in place and contained key information about people’s health and wellbeing, including health conditions, allergies, medicines and screening information. Records of healthcare appointments were maintained within these documents and reviewed by the registered manager, helping to ensure important information was up to date and available when needed to support safe and coordinated care.

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.

The provider had strengthened systems to review outcomes and monitor people’s progress. The person, their relative and relevant external professionals were involved in reviews to discuss outcomes, changing needs and future plans.

Care records, monitoring information and reviews were completed consistently and used to update support where needed. The person told us they were involved in developing their care to reflect their needs and preferences. Reviews following respite stays helped identify what worked well and where improvements could be made. This improved oversight helped ensure care remained responsive, person-centred and focused on achieving positive outcomes.

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

The provider had made sufficient improvements to address the issues identified at the last assessment. They worked within the principles of the Mental Capacity Act 2005 (MCA), ensuring decisions were made in people's best interests where they lacked capacity, with involvement from relevant people and professionals. Deprivation of Liberty Safeguards (DoLS) applications had been submitted and were monitored where required. Leaders and staff had completed updated MCA training and demonstrated a good understanding of consent.

We observed the person making everyday choices about how they spent their time and what they wanted for dinner. Information was provided in a way they could understand, enabling them to make informed decisions and give consent to their care and support. The person told us, “I tell them what I want, it’s my choice and they do listen.”