Aspire Care Services - East London

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 as 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 told us they carried out an assessment of people’s needs prior to the provision of care and records confirmed this. The assessment involved the person and their relatives where appropriate, so it captured what was important to them. The registered manager told us, “We first do a telephone call and arrange a face-to-face appointment. We ask them what they need and how we can provide this.”

Care plans and risk assessments were then developed by the registered manager based upon the assessment. We saw care plans which covered areas of support required including, eating and drinking, communication and mobility.

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 was able to provide evidence-based care and treatment. Policies were in line with national good practice and care was given in a person-centred way. This was in line with the people’s wishes, and they were involved in their assessment of need.

Individuals were supported to attend annual health checks with their GP, ensuring potential health concerns were identified early. Staff ensured people accessed routine appointments with opticians and dentists. This proactive approach meant people’s physical health was monitored and maintained, contributing to improved wellbeing and overall quality of life.

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 had access to the information they needed to appropriately assess, plan and deliver people’s care and support. A staff member told us, “We have the care plans and risk assessment, so I know what I need to do.”

The management team and staff told us how they shared positive relationships with other professionals involved in people’s care. This included the GP surgery and social services. Information was provided to other professionals to ensure people received a consistent service. This included a summary of the care plan if people required for example a hospital admission.

Care records enabled staff to communicate well with each other and ensure continuity of care.

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.

The service worked with people and their families to support their health and wellbeing. This included liaising with family members on a person’s discharge from hospital to check if any of their care needs had changed, amending or stopping medicines at the GP instructions and discussing the outcome of hospital or health appointments to ensure the care package remained appropriate.

Staff received training in how to meet and appropriately manage people’s health care needs and conditions, for example moving and handling, and first aid.

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 systems for monitoring the care provided. Daily records were kept of what support was provided on each shift, and these were reviewed by the registered manager. In addition, the registered manager remained actively involved in people’s care, regularly visiting people to monitor progress and ensure agreed outcomes were achieved.

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

People and relative told us they were involved in planning their care and support and were able to share their preferences for how they wished to receive care. Comments included, “Yes, we have a care plan.” Staff we spoke with said they always sought consent before providing care. They said people were encouraged to make their own choices and decisions about their care.

Systems were in place to obtain consent from people to provide care and support. An MCA policy was in place, and staff had been trained on the MCA. MCA assessments had been completed to check if people had capacity to make certain decisions.