Inspire Care Agencies 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 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 their families, if appropriate, were involved in the planning of people’s care. Relatives told us, “I was involved and had meetings to discuss care plan” and “We had meetings with staff and [relatives name] to talk through their needs” “We have a folder, and the plan was put together by me and [relative] and staff. They put in a diary entry as to what they’ve done on the day and how [relative] has been.”

The registered manager told us people’s care, and support needs were regularly reviewed and changes made when required. Any changes were communicated with people, their relatives and staff providing the support.
 

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.

People and relatives were involved in planning and reviewing of care needs. The initial assessment and review took into consideration people’s choices and preferences and identified any concerns they may have about receiving care in their own home. Families told us they were kept updated with any changes or concerns.

Staff received appropriate training including extra training in relation to a person’s specific health needs. One told us, “I do have mandatory and essential trainings but also within the company there are opportunity to have additional trainings that can improve my skills to better support my clients.” This ensured staff knowledge was up to date to provide the best possible care to meet people’s current needs. Relatives told us staff appeared confident and well trained to provide care safely.
 

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.

Care plans and daily records included information to evidence how the service worked with other healthcare professionals. This included mental and physical health specialists. Information in care records was detailed to provide staff with the information they needed to meet people’s care and support needs at each visit. Staff contacted GP’s and district nurses directly when needed. The registered manager also showed us examples where they had liaised with social workers, Independent Mental Capacity Advocates (IMCA) and solicitors involved with people’s care.
 

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 involved in how their care was provided. Care records included all relevant information relating to a person’s physical and mental health needs, medicines and specific health needs. Care plans included a ‘brief summary of specific risks’ for each person and care plans included information about each task staff were required to complete at visits. For example, some people had more than one visit a day, and tasks differed at each visit. People were supported to maintain their independence as much as possible whilst ensuring people remained safe.
 

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.

Relatives told us care plans were regularly reviewed. When changes were required, these were updated promptly and communicated to people and staff. The RM told us regular staff meetings took place, “If there is an issue around a certain client, we go through all the clients, carers come in and we go around the room to share information and discuss in an open environment.” This meant that staff were involved in decisions and were kept up to date with any ongoing issues in relation to people’s care and support and helped facilitate consistency in how care was provided.

Regular unannounced spot checks were carried out, these included staff observations, competencies, a review of care needs and to gain feedback from people.
 

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. Consent was sought before any care was provided and people’s views were listened to and respected.

Staff received training around mental capacity. When people were not able to make decisions for themselves, relatives or legally appointed professionals were appropriately involved with making decisions in their best interest. The RM demonstrated a clear understanding around mental capacity and Deprivation of Liberty Safeguards (DoLS).