Premier Care Services

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.

Prior to care packages starting, the provider fully assessed people’s needs. The provider obtained information from people, took time to meet them and their family members and tried to involve people in the assessment as much as possible. Leaders reviewed initial assessments and decided if they could meet people’s needs. Once this decision was made, the assessments were used to produce care plans. The provider said, “We go and do an assessment, meet the family, meet the person and always try to get people involved, regardless of their levels of capacity. We ask them what they want and we record their needs.”

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 nutritional and hydration needs were recorded in their care records. This ranged from leaving snacks and drinks out for people to preparing meals. Guidance for meal support was detailed and contained step by step information for staff to follow. People’s preferences for what they liked to eat and drink were very clearly recorded. People were very happy with the support they had with their nutrition and hydration. One relative said, “Staff get breakfast for [person], [person] has strong likes and dislikes, they know that and do it how [person] likes it done.”

Staff had been provided with training on nutrition and diet. The provider told us they would seek any specialist support if needed from teams such as speech and language therapists.

The provider used CQC updates, information from the Homecare Association and social care platforms to keep up to date with guidance and good practice.

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.

Leaders and staff worked with a variety of healthcare professionals and there were clear records of all communication. Staff understood they needed to report health concerns to the office team who would share information with professionals such as occupational therapists and the GP.

There was good communication amongst the staff team. The provider had systems to make sure information was shared in a timely way.

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 conditions were recorded and staff worked with people, families and professionals to provide the care and support people needed. If there were any gaps in staff knowledge, guidance was sought from healthcare professionals.

People were encouraged to maintain mobility and daily living skills where possible.

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 had information on what staff were to do to monitor health and wellbeing. The provider was supporting people with their health and physical needs but also their social needs and wellbeing.

People and relatives said staff were very responsive to people’s changing health and acted to get medical help in a timely way. One relative said, “If there is an issue staff will flag it with me. They once called 111 on my behalf.”

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

The provider made sure people consented to their care package prior to care starting. Staff understood the importance of obtaining consent and had been provided with training on the Mental Capacity Act 2005 (MCA). Staff demonstrated knowledge of the principles of the MCA and how this applied to their work.