Carerecruit Solutions Limited

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• 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.

The registered manager told us that they assessed peoples’ needs prior to care commencing and records confirmed this.The assessment involved people and their relatives where appropriate, ensuring it captured what was important to them.

Care plans and risk assessments were developed by the registered manager based on the information from the assessment. We saw care plans in place for mobility, communication and plans related to specific health conditions.

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 their relatives were involved in planning their care and treatment, meaning they received support that was important to them. Identified pre-assessment needs were transferred in to well written, clear care plans and risk assessments.

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.

Due to the small number of service users, the provider maintained consistency of staff, with each person they supported having dedicated carers.This reduced the risk of miscommunication and repeated tasks, promoting positive outcomes for people.

Staff told us that communication between staff was good and was done through a variety of platforms such as telephone calls, group messaging platforms and diaries in people’s homes.

We saw records showing a good level of communication between staff and external parties such as district nurses,GP’s and pharmacies.

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.

The service worked closely with people and their relatives to support their health and well-being. We saw staff supported people by attending appointments with them and their relatives. One relative told us,“It is helpful for staff to be involved as they know [person] well and spend a lot of time with them, this means they can provide relevant information.” We also saw people were supported to access pharmacies, district nurses and podiatrists.

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.

Care records were reflective of people’s needs. We saw monitoring of hydration was in place for those at risk of de-hydration or other conditions associated with a lack of fluid intake, this ensured clinical expectations were being met. Any changes or worsening outcomes were communicated to the registered manager who had a system in place to monitor records daily.

We saw one person had a risk assessment in place for a condition that they had,which did not include current NICE guidelines.We discussed this with the registered manager,and they agreed this would be updated.

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

There was a policy in place and training around consent to care and treatment. At the time of this inspection there were no people that required best interest decisions or mental capacity act assessments.

Staff understood the importance of making sure people were at the centre of decisions about their care.Staff told us,“It is important to give people options and never tell them what is going to happen or what they are going to wear or eat.” A relative told us,“The carer will always ask [person] in a way that makes them feel they are in control.”