Care Delivered 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.

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 provider made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them. Initial and ongoing assessments were detailed and included people and their families to ensure the provider fully understood their needs. Relatives confirmed they were involved in planning and review, with care being adjusted to meet any changing needs. A relative said, “We had an initial assessment and this was a positive experience. They [staff] met us to find out what we needed and if they were able to meet our expectations.”

People’s care plans contained sufficient detail and were tailored to their individual needs. This included their health conditions, routines and cultural preferences. Staff had clear guidance on all aspects of their care. Care plans were aligned with people’s risk assessments and updated when needs changed.

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. The registered manager met with people, their relatives and any relevant health and social care professionals to gather important information about people’s medical histories and health conditions. Where appropriate, the provider had best practice guidance available for staff to ensure people received the correct levels of care. For example, this included support with swallowing difficulties and detailed information around the International Dysphagia Diet Standardisation Initiative (IDDSI) guidelines for food and fluids consistency.

The provider worked well across teams and collaborated effectively with a range of health and social care professionals to ensure people received coordinated and consistent care. Assessments were carried out using a multidisciplinary approach with partnership working with occupational therapists and speech and language therapy (SALT) teams. These relationships helped ensure people’s health needs were met in a timely way and led to positive outcomes.

Staff understood specialist requirements and explained how they followed professional guidance and recommendations from the relevant health and social care professionals. We saw communication between services was timely and effective, with staff being regularly reminded of when and who to escalate any concerns.

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 and their relatives told us staff were proactive in reporting any concerns about their wellbeing or changes in their health. Staff had clear guidance in place to make sure any risks to people’s health and wellbeing were identified early to prevent deterioration. This included examples that ensured equipment checks were carried out and nutritional supplements were taken to ensure safe and adequate nutrition.

People were also supported to attend appointments and where appropriate, be supported in the local community for fresh air and to aid their emotional wellbeing. For example, a person had a detailed community access plan in place to support their social inclusion and promote their wellbeing. This person’s relative was positive about this support and the positive impact it had on their family member.

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. The provider had implemented a positive culture within the team to ensure staff understood the level of care they provided would make a positive difference in people’s lives. Staff worked closely with people, their relatives and a range of health and social care professionals to ensure care remained effective and person-centred. Where appropriate, staff completed accurate monitoring records to ensure people’s care needs were met and any changes could be identified. The registered manager had been proactive in seeking advice from professionals to ensure they were meeting best practice within the information they recorded.

The management team carried out regular checks to ensure the care quality was consistently monitored. Feedback from people’s relatives confirmed this and that they had regular discussions about how the care was being provided. This demonstrated a proactive approach to monitoring people’s outcomes to help address any issues promptly.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. Improvements had been made in how consent to care was sought and how staff understood their responsibilities. This had been achieved through staff being re-trained on the Mental Capacity Act 2005 (MCA) and reinforced through staff meetings and supervision. This had been a recommendation at the last inspection.

Mental capacity assessments were completed during people’s initial assessments and the registered manager had a good understanding of their legal requirements. Where people had capacity, staff sought verbal consent before each task, explained what they would be doing and respected people’s choices and independence. Where a person lacked capacity for specific decisions, a capacity assessment had been completed and best interest decisions were documented. Staff involved relatives where appropriate and observed non-verbal cues to promote comfort and emotional well-being.

Staff confirmed they had completed the relevant training and had a good understanding of their responsibilities. A staff member said, “Where I support people lacking capacity, I respect their rights and support them to make decisions in their best interests. I involve the relevant people such as family members, advocates and healthcare professionals ensuring any actions taken are in line with the MCA principles."