P and S Care 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, wellbeing and communication needs with them.

Care plans included detailed medical histories, personal preferences, and risk factors. Assessments of people’s care were carried out when people first began using the service. These considered family information, health and well-being, care and support required and medication. Relatives told us they were involved with the assessment process. One relative told us, “Yes an assessment was done and I felt very involved.”

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 registered manager told us about best practice guidelines which were followed including NICE guidelines, as well as learning from any serious case reviews. Staff had access to electronic policies and procedures meaning they could seek advice as required.

People who used the service and relatives told us they received enough support to eat and drink in order to meet their nutrition/hydration needs, with the support people required detailed within care plans. One relative told us, “(Person) is able to eat themselves, but staff ensure all of the food is prepared in advance.”

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.

We saw evidence of joint working with other organisations including social workers, funded nursing care teams and continuing healthcare services. People also had input from the moving and handling service and speech and language therapists (SaLT) to ensure they received the care and support they required.

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 had access to different services to ensure they were able to maintain good health, including GPs and dentists, with staff providing support to attend any appointments and order any medication as required.

The service encouraged people to attend routine health appointments and follow any recommended treatment plans. Where people refused to take medication, the service explained potential side effects and explored other treatment options.

People were able to participate in activities such as swimming and cycling to maintain and improve their health.

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.

The provider monitored all aspects of people’s health and reviewed people’s wellbeing with them and others involved in their care on a regular basis. A professional told us how staff monitored people’s wellbeing and how they responded promptly to significant changes in people’s conditions and said to us, “(Person) has complex care needs and can have seizures, infections and experience pain. They have never been admitted to hospital though and I feel this is because of the level of care and support they receive.”

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

People and their families were involved in decision making about the care that was provided. Capacity assessments were in place for people who needed support with decision making and where required, the provider involved others such as families and professionals in those processes, such as the local authority. Staff understood the principles of the mental capacity act and the importance of making sure people were at the centre of decisions about their care.