Step Up -Domiciliary Care Also known as Step Up Supported Living 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 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, well-being and communication needs with them.

Assessments of people’s care and support needs were carried out prior to support commencing. Where appropriate, assessments included information from health and social care professionals, people and their families to ensure staff fully understood each person’s individual’s needs. People told us they had been involved in the assessment and reviews of their care needs.

The provider assessed the needs of people, staff capacity and skill set to support people safely before accepting new packages of care.

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. For example, people’s nutritional needs were assessed and delivered in line with their dietary needs and preferences.

Staff were supported through training and regular supervisions to support people in line with good practice guidelines and standards. Staff practices were checked and monitored by the management team.

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 registered manager and staff communicated and worked well with each other to oversee the delivery of people’s care. They sought advice from and shared information with other partners as needed. People’s care plans were updated with any changes in their support needs and recommendations from professionals. Effective communication systems between staff were in place to communicate changes in people’s care needs.

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.

People told us they were supported to maintain a healthy lifestyle of their choice. Staff supported people with their dietary needs and exercise regimes as recommended by professionals.

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.

Following our review of the provider’s information return, the provider’s policies, procedures and discussions with the registered manager and nominated individual, we were satisfied the service was compliant in this area. Records of the care delivered by staff and people’s care plans were regularly monitored and updated to reflect any changes to care and support.

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

At the time of our assessment, people had capacity to make decisions about their care needs. However, we have asked the provider to consider additional training in the assessments of people’s capacity in line with the Mental Capacity Act 2005 (MCA) Code of Practice to ensure decisions are made in people’s best interests if they lacked mental capacity.