Cera Rotherham

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. Members of the management team met with people and their relatives before they started using the service to assess their needs and choices. The assessments were comprehensive and person-centred. These were regularly reviewed and updated. People and their relatives confirmed they had been consulted, and had signed their agreement to assessments and care plans.

The provider planned 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. Staff told us training helped them provide good care.

People’s dietary needs, including cultural needs, and preferences were assessed and planned for. We asked people if they felt care staff had the skills they needed to support them, physically and emotionally. One relative said, “The carers will cover all the duties and have offered to do more, but I’m more than happy with what they do anyway. There are definitely no training issues among the carers that I’m worried about. We are confident that they are well trained, and the carers work looks like second nature to them.”

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 communicated well with each other and external professionals. Staff recorded detailed notes during each visit to people who used the service. The registered manager liaised with other professionals to share information and ask for advice when needed. Where people received advice or care from other professionals, we saw these details were included in people’s care plans.

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. The service assessed and planned for people’s healthcare needs, making sure staff had appropriate information. They made timely referrals when people had become unwell and alerted relatives to concerns. Where people had specific health goals, this formed part of their care plans. Relatives told us staff had given good support to keep people healthy and to ensure they ate and drank well. One relative said, “[staff] are very informative and very reliable.”

The provider routinely monitored people’s care to continuously improve it. They ensured outcomes were positive and consistent, and that they met both clinical expectations and the expectations of people themselves. People’s care plans and daily records included information and updates about their on-going care and support needs. Referrals were made to local health and care services when people needed specific clinical support or assessments.

Staff received training in the Mental Capacity Act 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. People and their relatives told us staff sought consent before providing care. One person added, “The carers always ask me if there’s anything else I need doing before they leave.”

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. When they lack mental capacity to take particular decisions, any made on their behalf must be in their best interests and as least restrictive as possible.

People can only be deprived of their liberty to receive care and treatment when this is in their best interests and legally authorised under the MCA. When people receive care and treatment in their own homes an application must be made to the Court of Protection for them to authorise people to be deprived of their liberty.

We saw the service was working within the principles of the MCA.