Tipson Healthcare 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 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.
Staff completed an initial assessment before the care package started. The assessment considered the person’s physical health, wellbeing, communication needs, mental capacity, routines and preferences. Care plans showed the person and their relative were involved in planning support.
Staff reviewed care plans and risk assessments regularly. Records were clear, detailed and person-centred. Staff used daily observations, communication with the person, their relative and the live-in carer to identify changes in the person’s needs. Leaders had oversight of care records and completed effective audits and reviews to make sure information remained accurate and up to date.
 

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.
Care plans considered relevant legislation, evidence-based guidance and the person’s assessed needs. The person’s relative managed their nutrition and hydration, and the provider worked with the relative and live-in carer to support safe, informed care.
The provider ensured that care, treatment, and support were based on current good practice and evidence. For example, staff followed guidance from GPs and physiotherapy professionals when supporting the person and completed condition specific training to improve their knowledge and approach.
Staff completed nutrition and hydration training. Care records included person-centred information about nutrition, hydration and any related risks. Policies reflected national guidance and expected standards.
 

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.
The provider shared information with staff so they understood the person’s needs and how support should be provided. One staff member told us, “I receive verbal briefings and have access to the care plan before supporting the person.” Staff also liaised with the live-in carer and the person’s relative to support consistent care.
Staff knew the processes of escalating concerns if the person’s needs changed.
The provider used CQC updates, local authority information and health and social care platforms to keep up to date with guidance.
 

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.
Staff supported the person’s physical wellbeing through stretching regimes as recommended by a physiotherapist. The stretches helped the person remain as active as possible and supported circulation. Staff understood that these routines were important because of the person’s disability and health needs.
The person’s relative managed their social engagement to support with their overall wellbeing, and the provider respected this family arrangement and considered it within the persons care planning. The person’s care plan clearly recorded this arrangement, and risk assessments showed staff had considered how to support the person safely while maintaining the family’s independence.
Staff used care visits to support the person, provided respite for their relative and monitored for changes in their physical or cognitive wellbeing.
 

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.
Care records showed staff routinely monitored the person’s health and wellbeing. Care plans included expected and agreed outcomes and described how staff should support these in practice. Staff recorded daily observations of the persons wellbeing and used these to identify changes at an early stage.
Records showed staff monitored the person’s physical and cognitive presentation during visits and escalated concerns when needed. Staff used daily care records, one to one communication and reviews to check whether support achieved positive outcomes.
 

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment.
The person had capacity to make decisions about their care and support. Staff respected the person’s choices and involved them in planning how care was delivered. Staff shared information in a way the person understood and gave them time to ask questions and make decisions.
Staff sought consent before providing support. Care plans recorded the person’s capacity, preferences and decisions. The provider had policies relating to consent, the Mental Capacity Act, best-interest decision-making and advance decisions where required.