Citywide Care Agency- Bristol

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. This is the first assessment for this newly registered service. This key question has been rated 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 assessed people’s needs by visiting them, in their own homes. An assessment was carried out to ensure the service could meet people’s needs. During the assessment visit times were discussed along with finding out information about people’s needs, preferences and life history. The assessment helped to inform the person’s overall care plan. Review meetings were held to ensure people remained happy with the care being provided. People’s care records were also updated if needed.

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 planned people’s care with them and their relatives. They got to know what was important to people and their preferred times of visits. People were supported in line with their own preferences. The registered manager told us this included managing people’s cultural preferences. One person had a regular staff member who visited them, this had worked well as the staff member was able to speak the same language as the person.

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. People’s care needs were recorded within a care plan which recorded information about their needs, medical history, medicines, likes, dislikes and beliefs. This was kept in people’s own individual homes along with daily records. The registered manager was keen for people to receive care from staff who were familiar to them. This meant that people were understood and their care needs were met.

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 registered manager told us the people they supported were able to manage their own health care appointments, with support from relatives. However, if the staff had concerns, this was reported to people and their relatives. If needed the staff were able to support people to access their GP or health professionals.

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 with people to identify what they wanted to achieve from the support provided and helped them to achieve this. A relative told us, “The staff encourage my relative to remain independent. They help them with a positive approach.”

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. Staff were respectful of people’s rights when delivering care and treatment. Staff sought their consent about their care and support. Where needed people had capacity assessments in place. A relative confirmed that staff always sought consent before care was given.