Majestic Care North West 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 – 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.

The registered manager undertook a thorough assessment about people’s needs alongside people and their family members. People could see their assessments and support plans via the electronic system on their computer and the service could provide a paper copy if preferable.

Staff accessed information about people’s health and care needs via their handheld device and recorded their caring tasks onto these, which could be monitored by the managers.

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 provider used some nationally recognised assessment tools to capture information, for example to look at risk to nutritional health and risk of weight loss. Staff understood people’s needs around their dietary requirements and made sure support was in line with this.

Policies were up to date and reflected current guidance and linked to relevant legislation. People told us staff were mostly well trained and understood their needs, especially regular staff. Relatives said some staff that covered shifts were less well informed.

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.

There were regular team meetings and managers made referrals to external health agencies such as GP and district nurses. They worked alongside services such as occupational therapy and intensive home care support. Health professionals could access people’s care and support plans with consent via the electronic system and any input from them was clearly documented. This made sure information could be shared efficiently. There was good continuity of care from consistent staff and staff made sure they conducted handovers of information when needed.

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 people to attend their health and wellbeing appointments and supported people with tasks such as shopping and accessing the community to encourage independence. Staff encouraged people to make healthy food choices where staff supported people with eating and drinking.

Staff completed training such as first aid, and training about how to identify specific health concerns and what to do.

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.

Staff observed any changes in people’s health and responded accordingly to minimise the risk of further deterioration in health.

When requested to do so by GP or health professionals, staff monitored and documented health outcomes such as food and fluid, for people that may be at risk of malnutrition or weight loss. Staff were aware that people may refuse some types of care tasks. They monitored and recorded this, informing appropriate people if action needed to be taken.

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

Staff completed training in the Mental Capacity Act 2005 and understood the principles of consent. Staff talked to people about what they were doing during caring tasks and made sure people were comfortable. We saw evidence of consent forms in people’s records.

No one was subject to court of protection directions, although the provider was aware of the legal framework around supporting people who may be at risk of being deprived of their liberty.