Fixby Healthcare 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.

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 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 treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them. The registered manager said, “When needs change we review the care plan. We sit down and talk with people. I evaluate the care plans on a monthly basis. The carers will update me if there are any changes.”

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 said, “We keep on checking what’s happening on the CQC website, NICE guidelines, NHS website and any government changes to make sure our policies are in line with what’s expected.”

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 said, “We support our staff by providing training and do supervisions and I am always available. For example, one person’s car broke, and they phoned me, and I covered the visit. When there is snow, I will go out and do everything.” The service held staff meetings to ensure people were kept informed of changes within the service.

The provider supported people to manage their health and wellbeing to maximise their independence, choice and control. One staff member said, “I try to make sure I do what they want. I am always making sure I protect people. You don’t want people to feel like they can’t make decisions.” Staff supported people to live healthier lives and where possible, reduce their future needs for care and support. The registered manager said, “We work in good partnership with others and if we need to make a referral, we will. We have a client that goes to a dentist and previously the dentist said their teeth were bad and needed brushing. We supported them to do this, and we received compliments from the dentist that their teeth had improved following the support we gave them with brushing their teeth.”

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 registered manager told us about a person they supported who had poor hygiene. They started working with the person and supported them with their personal hygiene. The registered manager said they reassured them and used a gentle approach. By using this approach, they were able to provide the personal care needed and cut their nails which the family said they had never let anyone do. The person’s relative said, “[Name] initially resisted any support outside of family but quickly took to the team and this reflected in a prompt improvement in their personal hygiene and physical and mental wellbeing.”

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. People, and their relatives where appropriate, understood their rights around consent and had signed to confirm consent to their care plans. However, capacity assessments did not record accurately when a person lacked capacity and there were no best interest decisions in place for people who required care and lacked capacity. For example, one person lacked capacity however the assessment did not state what area the person lacked capacity and how in their best interest they would be supported.