Winsford Care 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.

At our last inspection we rated this key question good. At this assessment the rating has remained good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.
 

This service scored 71 (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 support was effective by assessing and reviewing their health, care, wellbeing and communication needs with them. The provider completed an initial assessment of people’s needs. People and their relatives were involved in the assessment and their views and wishes were documented. This information was used to develop people’s care plans.

The provider planned and delivered people’s care and support 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. Staff had access to a range of policies and support to promote good working practices.

People were supported to make choices about what they would like to eat and drink. Menus reflected people’s likes and dislikes. People and relatives spoke positively about the quality and range of meals available. We observed staff supporting people appropriately with their eating and drinking needs. Staff took their time when providing meal support and people were encouraged to eat and drink at their own pace.
 

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 other professionals to promote consistency in people’s care when supporting them to move between different health and community services.

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’s care plans contained information about the health professionals involved in their care and people’s care notes evidenced regular input from a range of different health and social care professionals.

The provider routinely monitored people’s care and support to continuously improve it. They ensured outcomes were positive and consistent, and that they met both clinical expectations and the expectations of people themselves.

People were supported to achieve good outcomes. Through the recovery to home initiative, we saw examples of people being supported to regain their independence and return to living independently.

The provider consistently encouraged and supported people’s relationships with family and friends, responding flexibly to enable people to spend as much time as possible with their loved ones. This promoted people’s wellbeing and improved their experience of care.
 

The provider did not always tell people about their rights around consent. Where people may not have the capacity to make a specific decision, the provider had followed the Mental Capacity Act 2005 to assess people’s capacity. However, these capacity assessments were not always sufficiently detailed and did not always cover all of the relevant decisions which needed to be made. Information about who was involved in the capacity assessment process was not always clearly documented.

Despite these concerns, people and those important to them told us they were involved in decision-making. The provider confirmed people and their relatives were always consulted when decisions about care and support were being considered. During the inspection, we observed staff asking people for their consent prior to providing care and respecting their rights and choices.
The provider responded promptly to our feedback, confirming they would be reviewing all capacity assessments in place to evidence more clearly how decisions had been made.

People can only be deprived of their liberty to receive care and treatment with appropriate legal authority. In care homes, this can be done through a procedure called the Deprivation of Liberty Safeguards (DoLS), which is part of the Mental Capacity Act 2005. The provider had made appropriate DoLS applications where necessary.