City Care Providers 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 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 needs were assessed appropriately by the registered manager. People’s initial assessments from the local authority were followed up through a conversation. Care and support was planned with people and their family to meet their needs and requirements. People told us their care plans were reviewed and updated regularly. One person said, "My care plan is being amended because of [deterioration in health and increase of needs]. We have already discussed it. [The care and support] is wonderful. Everything is sweet."

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 worked closely with health and care professionals to deliver people’s care as per their expectations. People and their families were involved in developing their care plans and changes and adjustments were made following their suggestions and feedback.

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 used an electronic care planning and recording system which ensured key information was updated and shared between care teams. This maintained continuity of care and support 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. There were good relationships with community-based health and care services and the provider shared information about people’s changing needs and presentations. This enabled local health and care systems to respond appropriately and carry out medication reviews or mobility assessments. A care professional shared the impact the provider had on supporting people to live a healthier life, “[Family member] feels much more settled and is really happy with the good relationship [person] has built with [member of staff]. [Member of staff] has also been supporting [person] with massages on their legs to support with the blood circulation as recommended by the hospital and [family member] stated they both 100% trust the provider and their support.” The care professional carried on and said “[Members of staff] are able to pick up on things they have not noticed, such as a need for a grab rail at the bottom of the stairs. [Person] is hopeful to be able to get out more once the weather warms up and is happy for [members of staff] to support them to do this even if it is walking around the garden in the warmer months to try and maintain their mobility.”

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured outcomes were positive and consistent, and they met both clinical expectations and the expectations of people themselves. Feedback from health and care professionals confirmed people’s outcomes had improved after support from the provider, “I have placed [person] on review now, I have de-allocated them from my case load and now they do not have a current worker allocated. [Person] is more settled now than they have ever been, and I thank [the registered manager] and the care team for supporting [person] like you do.”

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. People's capacity was assessed in line with the Mental Capacity Act (MCA) 2005. The MCA provides a legal framework for making particular decisions on behalf of people who may lack the mental capacity to do so for themselves. The MCA requires that, as far as possible, people make their own decisions and are helped to do so when needed. When they lack mental capacity to take particular decisions, any made on their behalf must be in their best interests and as least restrictive as possible. When we asked how people were involved in their care plans and how their consent for care was gained, a member of staff told us, "[The answer is] effective communication. l should always let [the person] know what I am about to do and ask for permission before proceeding with support or care."