Care Quality Services Oldham

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 after registering with a new provider. 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 received tailored support that was centred around their assessed needs, choices and decisions. People's needs were assessed before they started receiving support from the service. People's care plans contained details about how staff should best support them, and regular reviews were undertaken.

Staff knew people's preferences, likes and dislikes. They provided support in line with legislation, standards and guidance to achieve effective outcomes. Information within care plans included people’s preferences with daily routines and details about their likes and dislikes.

People’s relatives told us they were involved and consulted around people’s care. Comments included, “I am regularly updated if there are any concerns about [relative]” and “Communication is very good with the manager, I speak to them regularly, they check up to see if everything is okay.”

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 provider and registered manager demonstrated a good understanding and application of current good practice to assess and act on people’s needs. They ensured care planning gave staff the right level of information to meet people’s needs. People received support from staff who had the right training and support.

The service delivered care and support in line with best practice guidance. People’s nutrition and hydration needs were met. People were given choices each day of what they would like to eat for their meals. Staff monitored people’s wellbeing and encouraged healthy choices.

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.

All relevant staff, teams and services were involved in assessing, planning and delivering people's care and support, staff worked collaboratively to understand and meet people's needs.

Staff worked well with external healthcare professionals. They made timely referrals when they identified people had a specific need. Staff communicated with various professionals such as the local authority, GP and community healthcare teams. A relative told us, “The carers work closely with the district nurses as [relative] has pressure sores to ensure they are kept clean and dry.”

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.

There was information for staff on how to monitor and care for people to keep them safe and well. Care plans included a section on people’s health and well-being and incorporated details of people's diagnosis and medical background. Care plans included details about how people’s health and medical conditions affected their everyday life and how staff could support them to overcome difficulties.

People were involved in regularly reviewing their health and well-being needs and were encouraged and supported to make healthy choices to help promote and maintain independence and well-being.

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 had a robust approach to monitoring the effectiveness of people’s care and treatment, and action was taken to continuously improve it. People and their relatives told us, “As far as I am concerned nothing could improve”, “I am very satisfied with the care” and “I would recommend this service every time.”

Staff monitored and evaluated outcomes related to people’s health and quality of life. Outcomes were set for people in their care plans. These detailed how people wanted to be supported to achieve their goals and outcomes. Daily notes were completed by staff. These enabled staff to monitor people and help staff respond to people’s changing needs promptly to help promote positive outcomes.

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

The service was working within the principles of the Mental Capacity Act 2005 (MCA). The MCA provides a legal framework for making particular decisions on behalf of people who may lack the mental capacity to do so for themselves. Information about people’s cognition were recorded in their care plans. Concerns about people’s mental capacity were escalated to the local authority and health care professionals.

Staff received training in the MCA. Staff understood consent, the principles of decision-making, mental capacity and deprivation of people's liberty. Staff told us, “MCA is understanding whether a person can make decisions around something” and “MCA is whether a person has capacity to make certain decisions and choices.”