Coastal Care Agency

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 and their relatives told us they had been involved in their assessments, care planning and reviews. One person told us, “The manger will visit and review the care plan and check with us all is well.” We saw that care plans were reviewed involving all the relevant people. People’s differing communications needs had been appropriately recorded. A variety of assessment tools were used to assess and manage people’s 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.

Care plans and records of care provided mostly reflected current legislation and best practice guidance. People told us they felt staff knew their relatives needs well and supported them in the right way. A relative told us, “During the care planning process they spoke to me as well, it was very inclusive.” People’s hydration and nutritional needs were assessed and where support was needed this was documented well.

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.

The provider understood how to seek support from health and social care professionals when required. For example, with the use of specific equipment the community occupational therapist was contacted. Care staff were able to access up to date information about people via an app on their phones and that they also received phone calls. Regular meetings with staff and the provider were held for sharing information. Relatives told us they were kept informed about any changes, a relative told us, “The staff know [Relative] well and know when they are not so well and they let me know. Communication is very good.”

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 were supported to access a variety of other health professionals as they needed to. Care plans included information about people’s medication and past medical history. Care staff confirmed they had received relevant training and understood what actions they should take if a person’s health needs changed.

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 the expectations of people themselves.

Care staff and the provider monitored people’s support and care to ensure this continued to meet their needs. Care staff told us they would call the provider or on call if they identified any changes in a person’s needs or a possible new need and were confident the provider would take appropriate action. Regular reviews were completed where people’s outcomes were reassessed.

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

The provider understood their responsibilities in relation to mental capacity and consent. However, the records used for consent need to be improved to ensure consent had been obtained and recorded in line with the DoLS and the MCA. Information about people’s ability to make decisions about the care they were receiving was included within assessments.