Elm Case Management Limited

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 previously unrated 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 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 did not always make sure people’s care and treatment were effective because they did not always check and discuss people’s health, care, wellbeing and communication needs with them.

Each person had a care plan in place. The care plans were basic in content and relied on other documents for detailed information, such as the assessments carried out by commissioning Local Authorities and reviews carried out through the multi-disciplinary (MDT) meeting process.The care plans contained limited detail particularly in areas such as brain injury and cognition, and working with distressed behaviours. However, people had consistent staff who knew people’s needs well.

The registered manager said they would further develop care plans to contain further detail on how people’s needs were to be met, and then to have a briefer, more accessible version in language and format, to support their use by each person.

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.

Each person’s support was designed to meet their individual needs and to deliver a good quality of life and thereby support the person’s overall wellbeing ,in areas such as physical, psychological, social, emotional and welfare needs.

People were supported to have highly varied lifestyles specifically designed to support their personal interests and specific needs. Some activity involved some risk but the service had recognised people’s right to choice and had mitigated these risks as far as possible. Relatives were closely involved and were always aware of any risks being taken.

Some people required substantial physical and / or psychological support. Detailed records were kept, showing the delivery of care and support and enabled trends and issues to be identified and then enable discussion and changes to care planning.

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.

There was a positive culture of trust and mutual support within the staff team. The service was holding handover meetings and team meetings amongst the staff, to ensure changes in people’s needs and circumstances were communicated to all staff delivering each person’s care. The service worked effectively with health and social care professionals involved in each person’s care. One relative said, “The whole team are very approachable.”

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 service was in regular contact with people’s GPs. Where staff were administering a person’s medication the service was closely involved with reordering of medication and review. This close contact with people’s health services helped the service ensure the person’s health was always protected and maintained.

Some people’s food and drink intake was being care planned, recorded and monitored to ensure their health was monitored. This enabled issues and trends to be identified early and appropriate interventions to take place, such as contacting the person’s GP and health services.

Some people had their weight recorded regularly to ensure their health was supported. People were supported to enjoy their food preferences and make choices. Some people took part in cooking for themselves or as an activity. Where a person had a food or drink related health issue the service supported people to make choices that were beneficial to their health.

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.

The service was continuously monitoring the outcomes for each person of their support system. Regular Multi-Disciplinary Team (MDT) meetings reviewed the effectiveness of the person’s support and sought to improve their quality of life by continuously seeking new opportunities for stimulating activity.People had varied and active lifestyles which included social, entertainment and skill development activities designed to specifically meet each person’s individual needs, preferences and choices.

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

The service had Mental Capacity Act 2005 policy and procedures in place and knew their content.The service had supported community Deprivation of Liberty Safeguard (DoLS) applications. Some people had some restrictions in place to maintain their safety where they did not have capacity in specific areas of daily living. These were discussed and decided by the person’s circle of support, including their Multi-Disciplinary Team.