SDR Care Services Head Office

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 service. This key question has been rated good.

Good: This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 79 (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 always made sure people’s care and treatment was effective by thoroughly assessing and reviewing their health, care, wellbeing and communication needs with them. The service went to great lengths to ensure people’s needs were thoroughly assessed before they started with the service and that their care was constantly adapted and updated as people’s needs changed. Although people might not be able to communicate their needs verbally, people had specific communication care plans in place which detailed how they expressed their wishes and needs. Staff had in depth knowledge of how to communicate and support people when they were distressed or anxious. People had care plans in place that described who they were and what was important to them, and staff were able to access these and update these whenever people’s needs changed. Staff shift changes were staggered to ensure that people had a good consistency of care and that staff were able to give detailed handovers of their shift. For example, how someone’s health needs had been that day, if they were tired due to seizures and staff were able to base daily activities and trips out around these regular handovers. For example, if an outing had been planned but the individual felt fatigued that day, the activity would be adjusted to a comfortable drive with refreshments and to a bridge where they could watch passing cars. Something they loved doing.

Before receiving support from SDR Care Limited, some individuals had been supported elsewhere. However, relatives and community professionals consistently praised the positive changes they seen in their behaviour, personality and overall quality of life., Attributing these improvements to SDR Care Limited through needs assessments and tailored approach to care.

The registered manager told us, "From the very outset of receiving a referral for our services, the person is at the centre of the process. During the assessment process, we will gather information from many different sources including the person (where possible), family, advocates and other professionals to build a care package that is tailored to the individuals’ specific needs. " One relative told us, "It is the best care we have had. They are all out to do everything they can to make [Name] happy and they go above and beyond and it is incredible to have their support. "

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. People’s weight was monitored and some people had weekly weights if they were losing weight and appropriate referrals were made and adjustments made to their diet. Some people had been identified as needing support when eating and drinking. Assessments had been completed by Speech and Language Therapists (SaLT), and support plans developed from these. These plans included ensuring people were supervised when eating to prevent the risk of choking and ensuring they ate at a steady pace. The management team told us how they encouraged people with oral hygiene and how they had referred to a special care dentist to support people with oral hygiene needs.

The provider always worked well across teams and services to support people. They shared thorough assessments of people’s needs when they moved between different services, so people only needed to tell their story once. Staff collaborated effectively while working independently across teams always ensuring consistent continuity of care. One health care professional told us, "I visit [Name] weekly, and he presents as very happy and content in his new environment and I have observed the rapport between him and staff. It is lovely to see."

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’s health needs were monitored 24 hours a day and the service were quick to escalate any concerns. They worked alongside community health care professionals to ensure people got the right care when they needed it. The registered manager told us, “We deliver care and support in line with current best practice, such as that from NICE and the RRN (Restraint Reduction Network). We support individuals to ensure they receive good health care including annual health check-ups.”

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 health and care needs were monitored by the staff and overseen by the management team and relevant health care professionals. The registered manager told us about referrals to specialist services to ensure people get the care they need in the way they choose. For example, the service had a specialist optician who came to the service to ensure people’s medical needs can still be met in the environment they feel comfortable in. “One relative told us, "There is excellent staff that care."

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. 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. In care homes, and some hospitals, this is usually through MCA application procedures called the Deprivation of Liberty Safeguards (DoLS). The service was working within the principles of the MCA, and appropriate legal authorisations were in place when needed to deprive a person of their liberty. Any conditions relating to those authorisations were being met. The MCA’s we saw contained the relevant information and demonstrated the involvement of people, their relatives and how decisions were made in people’s best interests. Staff told us, "We give people the most support we can give to them to work towards, to be as independent as much as possible, to give enough time to process information and respond in a way they are able to. We give them options to choose."