Care Options

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 71 (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.

People’s needs were assessed prior to any care starting. This enabled leaders to assess if they could meet people’s needs effectively and provide the right care packages for people. People and relatives were involved in assessments and said leaders communicated with them well. One relative said, “There was good communication and it was clear what was required.”

Assessments completed were used to produce a care plan which was regularly reviewed.

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.

If people needed support with nutrition and hydration this was recorded in their care plan. Staff had guidance on what people’s likes and dislikes were. Staff were helping people to prepare light meals and making sure snacks and drinks were within reach before they left people’s homes.

The provider used an external national company to produce their policies and procedures. Policies seen had information on which pieces of legislation and guidance they referred to.

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.

If people had others involved in their care this was recorded in people’s care records. For example, 1 person had their own physiotherapist. Some people had help from others to do shopping or cleaning. This was also recorded clearly in people’s records.

Staff had systems to use to communicate with each other about people’s care and support. Any changes or updates were shared in a timely way.

The provider did not always support people to manage their health and wellbeing, so people could not always maximise their independence, choice and control. People’s health needs were recorded with some details on support needed. However, for some health conditions, there was not always enough detail for staff to know what to do in response to signs of ill health. For example, 1 person had diabetes which was well managed. However, there were no signs recorded for staff to know when the person might be ill and what to do in response. Another person was often in pain. There was little detail about what staff were to do to support the person. The manager said the person managed their own pain, however, this had not been recorded, and it was not clear if the pain impacted on other areas such as moving and handling.

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.

Leaders shared examples of how they had improved outcomes for people and been successful with care and support. People who had been assessed as being end-of-life care had improved due to the care and support provided. People’s mobility had improved which had enabled people to stay living in their own homes for longer.

People said staff were responsive to signs of deteriorating needs. This meant help people needed was sought effectively enabling people to improve.

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

Staff had training on the Mental Capacity Act 2005 and understood the principles. People were asked for their consent when starting up the service, but staff said they also asked people for their consent before providing care. One member of staff said, “I always talk to the person, ask them what they want and what they need.”