Mushavi Private 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 67 (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’s needs were assessed before they started using the service. Assessments were used to help create care plans which provided information about people’s care and support needs. Care plans detailed people's choices and support needs required at each visit, for staff to follow. Staff felt they were able to deliver effective, personalised care due to the care plan system in place. People and their relatives told us their needs were met and choices respected.

The provider planned and delivered people’s care and treatment with them, including what was important and mattered to them. They did not always do this in line with legislation and current evidence-based good practice and standards.

People and their relatives told us care was provided according to people's needs. Care plans contained enough information, so staff knew how to support people effectively. However, not all care was delivered in line with best practice. For example, evidence‑based tools to assess nutrition and skin integrity were not used. The registered manager began implementing these at the time of our inspection. The registered manager told us how they kept up to date with changing legislation by attending networking and learning events, and utilised resources from organisations such as the National Institute for Clinical Excellence (NICE) and CQC.

People and their relatives were happy with the support staff provided with meals. Best practice was followed to ensure food and drink was suitable for people such as those who were at risk of choking or those who were diabetic.

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 reported they worked well together as a team. A staff member told us, “All of us are 1 unit, we support the other person [staff member] we are working with on the call.”

Appropriate referrals to external professionals were made. If professionals had provided guidance, staff followed this. For example, a speech and language therapist had provided guidance about the consistency of a person’s food. This was recorded in the person's care plan and staff provided the recommended consistency of food.

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 had care plans in place which contained essential information about their general health support needs. Staff monitored people’s health and wellbeing. Where people's health needs deteriorated, staff supported them to access medical support if required. One person told us, “Sometimes they [staff] help us contact the GP for advice.”

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.

Effective processes were in place to ensure any updates in people’s care needs were shared with staff and relatives. The service’s electronic recording system supported oversight of people’s outcomes. The registered manager told us they regularly checked this to ensure people’s needs were met. They had good oversight of areas such as people’s fluid intake and bowel movements and ensured appropriate action was taken if needed.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. However, records to assess people’s mental capacity needed improving.

Consent forms were in place and had been signed by the person or if the person did not have the mental capacity to consent, by a legal representative. However, there were no records of mental capacity assessments or best interest decisions where a person’s ability to make a decision was in doubt. The registered manager confirmed they contacted a social worker to ensure people’s rights were being upheld and people told us they could make decisions about how they lived their lives and these decisions were respected. Staff also understood the importance of gaining consent and involving people in decisions about their care. The registered manager told us of their plans to improve records about decision making so they adhered with the Mental Capacity Act 2005.