SCA Care

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 service 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 confirmed they were involved in the assessment process. People confirmed they were able to access equipment and additional support from other agencies should this be required. The provider had the skills and expertise to ensure assessments captured a holistic view of the person. Assessments were person-centred and reflected people’s needs, risks, choices, skills, preferences and goals. The provider had worked with several agencies to coordinate care and support to enable people to return to their own home after a hospital stay.

The service 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. Staff told us they were aware of people’s choices, preferences and needs to ensure they received the correct support with nutrition, hydration, personal care and assistance with domestic tasks. The provider ensured care was person-centred, safeguarding processes were followed and joint working practices within health and social care were adhered to.

The service 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 staff team worked together with a variety of health and social care professionals to ensure care and support was received when required. The provider had processes in place to ensure care and support was coordinated in the best interests of people using the service which including collaboration with professionals and information sharing.

The service supported people to manage their health and wellbeing to maximise their independence, choice and control. The service supported people to live healthier lives and where possible, reduce their future needs for care and support. Care records captured the support people required with their health needs and what action staff should take when there was any deterioration to an individual’s health. The provider continually provided information to people and their families about how they could keep themselves well including guidance regarding mental wellbeing.

The service 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’s support was coordinated, and they confirmed everyone worked well together. Staff told us they agreed the care and support to be provided with each person and recorded outcomes following each visit. Staff told us they worked well with health professionals such as district nurses to ensure care met people’s needs.

The service told people about their rights around consent and respected these when delivering person-centred care and treatment. People and relatives confirmed, staff always gained their consent. Staff told us they always sought consent from people and explained what they needed to do to support the individual safely. The provider had processes in place to ensure people’s capacity and ability to consent was sought during the assessment process and throughout the period of care and support provided. A member of staff commented, “The Mental Capacity Act 2005 is designed to protect and empower individuals who do not have capacity to make their own decisions. It provides a structure for making decisions on behalf of these individuals, whilst ensuring their best interests are the priority and they are involved in the process as much as possible. Throughout this entire process it is still always presumed that a person has capacity unless it is proven otherwise".