Cecile Healthcare UK

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 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 67 (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 were involved in the assessment process and in developing their plan of care. Comments included, “Totally. The manager communicated with us and took all our input into consideration”, “Yes, [registered manager] has been very attentive. He's like a friend of the family. He brings a lot of laughter into our house”, and “Yes, [registered manager] came and visited me.”

Assessments were used to create care plans which outlined people’s care and support needs, and the tasks staff were required to perform. Assessments and care plans covered aspects of people’s health and social care needs. These included mental and physical health, as well as individual and diverse needs including and preferred methods of communication. However, some assessments and care plans required further detailed information to provide clear guidance to staff.

Following our assessment of the service, the registered manager took immediate action and reviewed people’s care plans ensuring further detailed information and guidance was included for staff.

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.

People’s needs, wishes and preferences were documented within their care plans. This ensured staff had accurate and up to date information to meet people’s needs safely and appropriately. Where people required support with eating and drinking, we saw this was recorded in their care plan. A member of staff told us, “I cook for a person from the same country I am from. I know they enjoy what I cook because they tell me they like it.”

People and their relatives told us they discussed their care and support needs with the registered manager and any adjustments required to meet their needs were made.

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 communicated effectively with each other, as well as with other health and social care services, to promote continuity and ensure any changes in people’s health and well-being were identified quickly and responded to.

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.

Staff assessed, monitored and recorded information about people’s healthcare conditions, signs of deterioration, and any interventions people needed from staff and health care professionals. The registered manager told us staff had access to care plans and to a staff communication system where important information could be shared between staff to ensure people received timely care.

People and their relatives told us staff supported them to stay healthy and well. A person said, “I do that and always inform the manager of any appointments. [Registered manager] took care of speaking to the Dr with regards to [health condition]. We needed a podiatrist, and he took care of that as well.”

The provider monitored people’s care and support on a regular basis 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.

Relatives told us they were regularly asked for their feedback on the service and could always talk to someone at the office at any time. Relatives said they felt able and confident to speak up if they had any concerns or issues.

The registered manager conducted staff spot checks within the community on a regular basis. These ensured the care and support people received was safe and delivered to a good standard.

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

Staff provided care in a way which aligned to the principles of the Mental Capacity Act 2005, and information was provided to people in a way they understood. Staff were able to explain how they gained consent from people. However, we saw that mental capacity assessments were not always fully completed where required. Following our assessment of the service, the registered manager took immediate action and fully completed mental capacity assessments with people where required.

People and their relatives told us staff sought their consent before providing care and support. A person said, “In every way, they [staff] talk a lot. They can also calm [loved one] down when [loved one] doesn't want to shower. They [staff] are so Intune with [loved one] it’s wonderful.”