Rolling Hearts 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 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.

The provider assessed people’s needs thoroughly and worked with health and social care professionals to inform care delivery. Records showed clear communication with GPs and other health and social care professionals, with advice reflected promptly in care plans. This supported coordinated and safe care.

Care plans and daily records were clear, current, and person‑centred. They gave staff an accurate understanding of people’s needs, risks, and preferences and were reviewed when guidance or circumstances changed. This reduced the risk of inconsistent care.

Managers recorded professional input clearly and shared updates with staff through care plans and handover processes. Staff followed updated guidance in practice, ensuring care reflected the most recent assessment and professional recommendations.

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. The provider used recognised clinical tools, such as malnutrition universal screening tool (MUST), to assess and monitor people’s nutritional and hydration needs.

Staff monitored people’s wellbeing daily and escalated concerns promptly, enabling timely intervention.

For example, a care worker identified a subtle change in a person’s presentation, including facial drooping, which had not been noticed by their family members. The care worker immediately informed management who arranged for medical assistance, contacted the family and supported further assessment. This led to the person receiving timely treatment. The family said they were grateful for the early recognition and timely reassurance.

Care plans reflected legislation and evidence‑based guidance. Where people had specific health needs, staff followed national guidance and good practice, promoting safe and consistent care. Policies reflected national legislation and best practice. These support staff to deliver safe, effective, and evidence‑based care.

The provider worked well across teams and services to support people. Records showed timely communication with GPs and partners, helping maintain continuity of care during changes or transitions.

Care plans were clear, current, and shared relevant professional guidance. Managers updated plans when advice changed, ensuring care remained coordinated and responsive.

Managers communicated professional updates to staff through handovers and daily systems and monitored compliance with guidance. This supported consistent care delivery and positive outcomes for people.

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.

Care plans clearly set out people’s health needs, preferences, and independence. They included professional guidance and helped staff support nutrition, hydration, mobility, and access to healthcare.

Records showed contact with health professionals, helping maintain people’s ongoing health needs.

Staff promoted healthier living through daily support and records showed they received relevant training. This helped people maintain and improve 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 met both clinical expectations and the expectations of people themselves.

Care records showed people’s health and wellbeing were routinely monitored. This included expected and agreed outcomes, and staff recorded progress against these. Records demonstrated ongoing review when needs changed.

Records and communication evidenced positive outcomes for people. Documentation showed people were supported to maintain or improve their health, independence, or quality of life following monitoring and intervention. This demonstrated effective oversight of care and treatment and a focus on continuous improvement.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. Care records showed staff documented people’s capacity to make specific decisions and made sure they sought consent at every stage of care.

Staff supported decision‑making appropriately and involved relatives or those with legal authority, including holders of a Lasting Power of Attorney (LPA), when people were unable to make decisions for themselves. This ensured decisions were made in people’s best interests and reflected their known wishes and preferences.

The provider followed clear consent and the Mental Capacity Act 2005. Staff received training and applied these consistently, supporting lawful and person‑centred care. Where required, staff recorded advance decisions and Do Not Attempt Cardiopulmonary Resuscitation (DNACPR) information. This meant if your heart or breathing stops your healthcare team will not try to restart it. These were stored securely, shared with care staff, and ensured it was accessible to emergency services.