Faiths Care

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.

The service completed an assessment of people’s needs prior to them using the service and used these to develop robust care plans that captured people’s holistic needs. Care plans were routinely reviewed and were updated following any changes, for example when people had been discharged from hospital. People and their representatives told us they were fully involved in the care planning and review process. A relative said “There are regular meetings with managers to discuss things and update the care plan.” Staff confirmed information was shared in a timely manner when people’s needs changed.

Care records detailed people’s support networks and guided staff on supporting unpaid carers. Leaders told us they had worked closely with a family carer to overcome language barriers, and we saw a care plan highlighted social visits to provide respite for a person’s relative, who is their main carer.

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.

Records contained practical instructions for staff to follow, so they understood how to support people safely. For example, 1 person’s care plan included detailed guidance about safe positioning when eating, and post consumption considerations to ensure the person’s safety and comfort. Leaders told us they had plans to attend additional training sessions, provided by the local authority, to ensure they were kept up to date with best practice guidance.

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 told us there was effective communication and strong teamwork across the service. A staff member said, “Records are updated very quickly. If I discover something that needs changing, I send a message and it is done within a day.” Partner feedback also confirmed the service worked well with them to ensure good outcomes for people. A partner who had worked with the service told us, “Throughout my involvement, the agency provided information to Adult Social Care to support assessments and care planning. Communication was generally timely and supported joint working between services.” Care plans included details of any involvement of other healthcare partners and were updated to include any additional guidance.

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 were aware of people’s health conditions, lifestyle choices and preferences. Care plans included information about people’s health conditions alongside information about what they were able to do for themselves, so they could be empowered to be involved in managing their own health, care and wellbeing needs as much as possible. This enabled staff to balance support, whilst empowering people to maintain their independence as much as possible.

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.

There were systems in place to monitor and improve people’s care and support, for example monitoring of daily care notes. Care plans included condition specific information to support staff to identify concerns about people’s health and monitor for signs of deterioration. For example, to prevent urinary tract infections (UTIs) and diabetic complications. We found 1 care plan did not include enough information about monitoring for signs of constipation, however, the registered manager had identified this as an issue and assured us they had implemented a bowel chart so it could be monitored more closely.

Staff knew people well and understood how their individual health conditions affected them. They told us they felt able to identify when people’s health was deteriorating and understood what action to take. A healthcare partner told us the service supported healthier lives through early risk identification, appropriate safeguarding referrals, and effective communication with relevant professionals.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. However, records needed to improve to ensure decisions made in people’s best interests were clearly recorded in line with best practice guidance.

Mental capacity assessments (MCAs) were completed for specific decisions. They were person centred and evidenced how the person had been supported to understand their rights. They included involvement of the relevant parties, for example relatives and/or power of attorney. However, where people had been assessed as not having capacity to make a decision, although the MCA described the level of support that was to be provided, a best interests decision had not been formally recorded. The registered manager responded promptly to this feedback and implemented best interests records where required.

Staff had received training around mental capacity. They demonstrated a strong understanding of capacity and consent and told us they always sought consent prior to providing care and treatment. People and their representatives confirmed this.