Satash Community Care Project 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 were safe and protected from avoidable harm.

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 carrying out holistic assessments of their physical health, mental health, wellbeing, communication and support needs. Assessments were comprehensive, regularly reviewed and completed with people, those important to them and relevant professionals. This ensured care remained responsive to people’s changing needs and consistently achieved positive outcomes. Staff knew people exceptionally well and anticipated changes in their needs, enabling early intervention and reducing the risk of avoidable deterioration. People’s strengths, preferences and aspirations were central to assessment and care planning, ensuring support promoted independence, choice and an improved quality of life.

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 received evidence-based care and treatment that reflected current guidance and best practice. Care was planned with people and centred on what mattered to them, enabling them to achieve positive outcomes and maintain a good quality of life.

The service worked proactively with health and social care professionals to review people’s health needs and ensure treatment remained appropriate. A social care professional told us, "Staff have been open to feedback and have shown a willingness to work with partner agencies to achieve positive outcomes for residents." A member of staff told us, “We maintain effective communication with families and professionals to ensure coordinated care. For example, we accurately record changes in people’s health and promptly share relevant information with nurses, GPs or social workers to support the best outcomes.” This ensured families and professionals had up to date information to make timely decisions, reducing delays in treatment and promoting continuity of care

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.

Staff worked collaboratively with health and social care professionals to ensure people received coordinated, person centered care. A social care professional told us, "Where issues or concerns have arisen, these have been addressed appropriately and collaboratively.”

Information was shared appropriately, for example people had personalised Hospital Passports (a personal document that helps people with learning disabilities communicate their healthcare needs and preferences to hospital staff, ensuring safer and more accessible care) and Red Bags, (Red bags contain belongings, medication and paperwork to improve healthcare and shorten hospital stays) containing essential information to help healthcare professionals understand their needs and preferences. This promoted continuity of care and helped ensure people received the right support when access healthcare services. Feedback from health and social care professionals was consistently positive.

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 knew people well and noticed signs of possible changes in their health. They responded promptly to these and supported people to access healthcare as they needed.

People's care plans included information about any health conditions they were living with and the support they needed to manage these. A member of staff told us, “The care plans are very easy to read, you can just pick it up even in a stressful situation and you know what to do.” This meant staff could respond consistently and safely, even in unexpected situations, ensuring people received the right support at the right time.

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 worked proactively with health and social care professionals to ensure people experienced seamless, coordinated support. People were supported to access essential healthcare services, including GP appointments, podiatry and hospital care. Where appropriate, staff arranged for healthcare professionals to attend the home, reducing anxiety and ensuring people received care in a familiar and comfortable environment. Appointments were well planned; staff prepared people in line with their communication needs and ensured any follow-up care was completed promptly. The registered manager told us, “[Person] doesn’t want to leave the house, I asked for [GP] home visits and they refused. I contacted the social worker for support because the GP told us to just call 999. [Person] can’t cope with seeing someone in uniform. So that got resolved with the support of the social worker who wrote the GP a letter.”

Care plans, risk assessments and health needs were kept under regular review, and audits were used to identify any opportunities for improvement.

People were informed about their rights in relation to consent, and these rights were respected when providing person-centred care and treatment. During the inspection, we observed people being treated with dignity and respect. Where appropriate, relatives were involved in decisions made on behalf of their loved ones. Consent was sought from people and, where required, in accordance with the Mental Capacity Act 2005 (MCA). A member of staff told us, “We involve people by asking about their preferences and encouraging them to express their views. For example, if someone prefers a different morning routine or activity, we respect their choice and update their support accordingly where appropriate.” One person told us, “If I don’t want a shower I say no and that’s ok.” The service had a clear process for assessing mental capacity, and records demonstrated that MCA assessments had been completed for specific decisions. For more complex decisions, relatives and relevant professionals were appropriately involved in best interest decision-making.

People can only be deprived of their liberty to receive care and treatment with appropriate legal authority. In care homes, this can be done through a procedure called the Deprivation of Liberty Safeguards (DoLS), which is part of the Mental Capacity Act 2005 (MCA). We checked whether the service was working within the principles of the MCA and how they managed DoLS within the service. We found that staff and management worked within the MCA. DoLS authorisations were appropriately applied for and overseen. People were not subject to unlawful or excessive restrictions they had choice, control and freedom over their lives.