Marygold Care UK Ltd

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 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

People’s needs were assessed and planned for. People and their relatives where appropriate had been involved in the care planning process. A care needs assessment had been carried out before people received care from the service.

Assessments were used to help create care plans which provided information about people’s care and support needs. Care plans were developed with the involvement of people and their relatives. A person told us, “I receive the care I need, I have a care plan and am involved in my own care plan, and I have had a discussion with the senior staff about what support I require and we agreed on how I would be supported.”

Care support plans were of a good standard and covered areas including personal care. They were person centred and contained detailed information about how to support people. Care plans were reviewed to reflect changes in people’s needs, wishes and health conditions.

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.

Staff undertook a range of training to help them perform their role effectively. Staff told us training was helpful, and they felt appropriately skilled and well informed. A member of staff said, “[The training] was really helpful and I feel like I can apply what I have learned in the training to my day to day job. [The training] was excellent. Another member of staff said, “The training gave practical advice about how to deal with situations. Training has been positive.”

The provider worked well across teams and services to support people. Where appropriate, professionals were involved in the people’s health, care and support.

Staff had effective communication systems. Regular meetings were also held for staff and provided an opportunity for staff to share information about the running of the service and people’s individual needs.

Staff told us they felt communication was good. A member of staff told us, “I can say that the communication has been positive.” Another member of staff said, “Excellent communication from the office.”

Staff shared information with one another as necessary to help ensure people experienced continuity of care. Staff told us they were supported in their work and felt valued working at the service. They said they felt comfortable reaching out to their colleagues and management for support.

Staff worked well with external healthcare professionals. They made timely referrals when they identified people had a specific need. Management communicated with various professionals such as the local authority, GP, community mental health teams. A care professional told us, “There is constant open communication and active engagement from management and care staff.”

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. For example, a person was supported to eat healthily and participate in regular exercises. This person told us, “My health was appalling before I came here. My mobility has returned to me. I have been doing aerobics and exercise with staff. I am eating healthier.”

A system was in place to help monitor people’s health and well-being. Staff recorded their visits and the support they provided. Management used these notes to help monitor people’s progress.

Staff were knowledgeable about people’s health and care needs. Where people required assistance with food and drink, guidance was in place, including for those with special dietary requirements.

The provider routinely monitored people’s care and treatment to help continuously improve it. They ensured that outcomes were positive and consistent.

Care plans included information about how people wanted to be supported to achieve their outcomes. Staff were able to respond to people’s changing needs promptly to help promote positive outcomes.

Management checked records and liaised with staff to help ensure appropriate action was taken when monitoring and responding to people’s needs.

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

People were able to consent to their care as much as possible. They were involved in developing their own care plans so they reflected what support the person wanted. A person told us, “I make my own decisions. I guide the carers in what I want them to do.”

Staff were aware of the importance of seeking people’s consent before each individual care task and the actions they would take if a person lacked the capacity to make decisions about their care.

No concerns were raised by people in relation to staff seeking consent.