Carers To You Limited

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. This is the first assessment for this newly 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 told us they were content with the care received and were involved with care planning. One person told us “The care plan was done with me, I asked what I needed and they arranged a care plan with me and I am quite happy with that situation. They are meeting my needs and fulfil them.” Staff used the electronic system to record the care people received.

Assessments were completed by the registered manager and involved people, and where appropriate their relatives or representatives in discussions about their care and support needs. This helped to ensure care planning reflected people's wishes, preferences and current circumstances.

People had care and support plans which provided guidance for staff on how to meet their needs. Records showed these were reviewed regularly and updated when people's needs changed. Assessments considered a range of needs and preferences and supported the provider to determine whether they could meet people's requirements safely and effectively.

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.

Care was delivered in line with current guidance and professional input. Staff followed clear care plans which described how to support people safely and consistently, including mobility and clinical tasks such as catheter care. Guidance from health and social care professionals was incorporated into care planning to ensure support reflected people's assessed needs and specialist recommendations. For example, where people had been identified as being at increased risk of falls, guidance from Occupation Therapists was used to inform staff of the appropriate way to support in care delivery. Staff demonstrated knowledge and competence during care delivery. They understood when to seek support or escalate concerns to healthcare professionals, including district nurses and GPs.

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.

Staff worked with healthcare professionals and other services involved in people's care. Changes in people's needs or circumstances were communicated effectively within the staff team and discussed during handovers to help ensure care remained consistent and responsive. The care manager maintained effective oversight of people's care needs and how staff worked with external professionals to support consistent outcomes for people. People’s needs and wishes were clearly documented. For example, we saw in 1 person’s care records their food preference and where they wished to sit and eat in their home. Staff confirmed they met people’s dietary requirements in line with their wishes and what the care plans stipulated.

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 and their relatives told us that they were able to attend medical appointments but if required the staff would always be willing to support. Staff understood people’s care and support needs. For example, where people were unable to mobilise, staff were aware to check people’s skin integrity and report accordingly if concerns were identified to the appropriate health professionals and management. Where staff supported people with catheter care, they were able to recognise signs of complications and again contact appropriate services when needed.

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 their relatives were regularly involved with discussions, and they were able to tell us how the provider was proactive and listened to them to achieve the best outcomes for them. Staff told us they monitored people's health and wellbeing through regular contact, observation and reporting concerns promptly, so appropriate action could be taken. Staff and managers carried out regular reviews of care plans to help ensure they remained accurate, up to date and reflective of people's current needs and wishes.

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

Staff understood consent and supported people to make decisions about their care. People told us they were asked for consent before support was delivered and were involved in making decisions about their care. Care records we viewed reflected this. Where people were unable to consent, we saw appropriate mental capacity assessments on record which involved discussion with the person, their relative and other professionals to ensure best interest decisions were being made. The provider also had written consent from those that were able to provide it, so relatives were able to act on their behalf when required. The provider was able to demonstrate an understanding of the principles of the Mental Capacity Act 2005 and the importance of supporting people to make their own decisions wherever possible.