Fission Care 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.

This is the first assessment for this newly registered 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 75 (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’s care records showed assessments were undertaken prior to using the service and care plans, including risk assessments, were compiled and reviewed at regular intervals, and sooner if a change to a person’s care needs necessitated an earlier review.

Care plans were detailed and referred to relevant areas dependent upon people’s current care and support needs. For example, care plans included keeping a check of risk of falls, applicable to one person and any risk of poor nutrition. Care records also included details of other health and care professionals involved with people’s continuing care. A relative told us that they had access to their relative’s care plan and the notes written by care workers about the care provided during each care worker’s visit.

The care plans were written in the first person, putting each person at the centre of the information about their care and support needs and from their perspective.

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 workers documented the support provided, recorded observations, noted any concerns, and the detail of outcomes of each visit. The manager regularly reviewed the completed care worker notes to ensure quality, and continuity of care. This was carried out to ensure that any concerns or changes in needs are promptly addressed and followed up as required.

Care system access was protected and restricted to authorised staff to uphold confidentiality and data protection standards.

The recording on care observations was in accordance with organisational procedures. Care staff supplied their visit notes to the agency to maintain a record of the care and support undertaken.

If people required assistance to prepare and eat meals this was made available. Care Staff supported one person to maintain a healthy diet and suitable level of hydration.

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 had not, to date, needed to be involved in people transitioning to use other care services. However, one person was living in a registered Nursing home and receiving additional one to one support from Fission Care staff. The Fission care staff liaised with the staff at the home to ensure continuity of care for the person and reported to care home staff about how the person was progressing.

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 provider showed us evidence of partnership working with other health and care agencies. We found that communication with these partner agencies took place, including when a person was living in a nursing home and receiving additional support during the night from Fission care workers. The effect of this partnership working was that people received consistent care in line with their agreed care plan which met their current health care needs.

A relative told us “The carers liaise with Physiotherapy and Dermatology to support (relative’s) health. They are really good.” and “They (Care staff) will tell me if they notice a change in relative’s) 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.

People’s care and support needs were regularly monitored which we saw evidence of in care plans and risk assessments. These all showed, along with other areas of day-to-day oversight, that the service paid attention to people. Care staff were clear in their feedback that they would always raise any concerns about changes for people’s care and support needs.

For example, for the two people the service currently supports, medication management is undertaken by a care home or family members. Where applicable, the service carries out routine reviews of Medication Administration Records (MAR charts) to ensure appropriate oversight. This monitoring also took place with care records completed by care staff to ensure that these are clear and reflect the care provided.

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

There were systems and processes to support people to make decisions. People were encouraged to be involved to share their views and make decisions about their care and each person using the service had capacity to do so.

Everyone using the service was able to provide informed consent. The provider had policies and procedures in place to respond when people may need to have their capacity assessed.

Care staff were clear in their feedback to us that they would ask people about their preferences on each occasion they were supporting people, for example, “I make sure to ask for consent every time I have to provide care” and “Yes, I have been provided training and guidance. The best care would be to listen to people you care for, ask them how they are doing and always check if there any changes.”