Great Grace Services 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 and relatives confirmed they were involved in care planning and reviews. One relative said, “Both [loved one] and I were involved in the initial care planning process and also review. The carers are well trained and experienced, meeting all their care needs to help them maintain a good quality of life at [persons age].”

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 manager and staff consistently told us how people’s needs, and what was important to them, was central to how staff supported them. This was confirmed by relatives who told us, “The carers always keep us informed and if [the person] needs medical intervention such as the GP I usually do that.” We observed staff acting promptly to support a person with healthcare risks which included referring them to appropriate professionals.

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 worked collaboratively with families and professionals. Relatives were consistently positive about how their loved one was supported, “The care plan process ran smoothly and communication with all parties has been good; the sharing of information not only with the carers but the company as a whole.” Staff had links with community nurses and occupational therapists for equipment and support.

The provider supported people to manage their health and wellbeing to maximise their independence, choice and control. People were supported to make choices that promoted their health and wellbeing. Some people were supported with meal planning and preparation. A staff member spoke of how they supported people, “We encourage people to do as much as they can safely, small tasks like choosing clothes, preparing simple meals, or maintaining mobility. We always allow time to promote independence, making sure it is safe.”

The provider monitored outcomes and supported people to achieve positive results. The provider told us how they had supported people to remain, or in one case return, to their own homes. The provider had worked with the person, their family and the local authority to ensure the person could return to their own home with appropriate support around them.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. Care staff had received training for the Mental Capacity Act and understood their responsibilities under this legislation. Relatives told us staff consistently sought consent. One told us, “They ask for consent when they do tasks and they always ask about their preferences.” Staff understood the importance of respecting people’s choices and recorded decisions in care records.