Pearl Care Professionals

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.

Care plans provided clear guidance on how to support people with their needs which included mobility, personal care, nutrition, and emotional wellbeing. Plans reflected people’s preferences, such as preferred daily routines, favourite activities, and how they wished to be addressed. People and families said they were routinely involved in care planning and review discussions. A relative told us, “Communications were excellent. We were always consulted and involved in all decisions, as was my [relative].” Another relative said, “Communications are fantastic. Everything is recorded so I can see how [relative] has been and how much they have had to eat and drink.”

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.

Recognised tools were used to assess risks such as skin integrity, falls, eating and drinking, and health conditions. Where risks were identified, a plan of care was in place to manage and mitigate risks to people. A relative told us, “[Relative’s] skin is checked regularly and [name of registered manager] ensures they have enough to eat and drink. Everything is monitored and recorded.” Staff had completed person specific training, in addition to core training, to better understand people’s individual needs. People and, where appropriate, their relatives were involved in planning and reviewing their care.

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.

People’s care plans and individual risk assessment were accessible to care staff. These contained all the information needed to deliver people’s care and support appropriately. Managers shared necessary information with external teams involved in a person’s wider support to help ensure continuity of care was maintained. The provider worked in partnership with people’s families, professionals and other care agencies.

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.

Staff took a proactive and person‑centred approach to health promotion, wellbeing, and prevention. Care plans clearly detailed people’s long‑term health conditions, known risks, and the steps needed to help them maintain their health at home. Staff used this information effectively during visits, encouraging people to remain as active and independent as possible. The service worked well with healthcare professionals to support people’s ongoing health. Where appropriate, staff contacted GPs, district nurses, therapists and social workers when they identified concerns, and acted quickly on any advice given.

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.

There were effective systems in place to monitor outcomes and ensure people experienced ongoing improvements in their health, wellbeing and independence. Staff regularly reviewed people’s care plans, risk assessments and daily notes to identify any patterns or changes which might indicate a developing need.

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

People’s relatives told us staff respected their loved one’s wishes and treated them with respect. A relative said, “[Relative] has capacity and their wishes are completely respected.” Another relative told us, “They [staff] respect their wishes and try and encourage them. [Name of person] has capacity and knows their own mind and they are respectful of that.” Staff had been trained about the principles of the Mental Capacity Act 2005. A member of staff told us, “I’ve had training in the Mental Capacity Act. I always seek consent before supporting someone, and if they refuse, I respect their choice, try again later, and follow their care plan to keep them safe.” People’s care records contained assessments of their capacity to consent to the care and treatment they received. The registered manager told us people were provided with information in a format they could understand. People’s care plans detailed their communication needs which were understood by staff.