Ultimate Independence Care Ltd

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.

The registered manager carried out an initial assessment of people’s needs to ensure the service had the capacity and staff had the skills to support people safely. People’s care and support plans were continuously updated to reflect their wishes, needs and changes in their physical and emotional well-being. People’s care was planned with input from people’s relatives and any relevant professionals. One relative said, ““We did the assessment with the manager; we did it together. They have the plan in front of them, they came again to see if there was anything else they needed to add, which was really good.”

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.

Staff ensured their support was driven by each person's preferences and what was important to them; in line with legislation and current evidence-based good practice and standards, (including Right support, Right care, Right culture) for services supporting autistic people and people with a learning disability. The provider had acted on feedback from other external monitoring organisations when supporting people with a learning disability and autism including staff training.

Professionals told us the service had been responsive to their requests. They had worked effectively with them to monitor people’s health and had implemented their recommendations about how people’s care should be provided. One professional told us the registered manager had been very responsive and extremely proactive and felt the service was well-led.

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.

People’s care and support plans included information to guide staff in the support people required and their preferences.

Staff and managers within the service worked as a team and effectively communicated any changes in people’s care needs. Professionals spoke positively of the service and said the staff were always transparent and provided timely communication. They acknowledged improved outcomes for people since they were supported by the service.

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 monitor and manage their health, care and well-being needs. Staff knew people well and understood their needs and preferences. Staff encouraged people to make healthy choices to help promote and maintain their health and well-being.

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’s care and support plans identified specific goals and outcomes related to their care. There was detailed information and risk management plans in place. The registered manager shared a number of positive outcomes for people, including increasing people’s confidence, independence and emotional stability.

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

People received their care in line with the principles of the Mental Capacity Act 2005. Staff were aware of the importance of providing people with choice and to respect their wishes. They adapted their approach and used different communication methods to assist people to make decisions about their care. The registered manager understood the requirement to assess people’s mental capacity should there be any doubt about a person’s capacity to make an informed and specific decisions about their care.