Keyspring 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.

This is the first assessment of 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 67 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

Staff made sure people’s care and treatment was effective by assessing and reviewing their health, care and well-being needs with them. The provider met with people and their relatives before packages of care started to ensure their needs could be met by the service. A relative told us, “The manager was very thorough and asked lots of questions about what we needed.” The provider completed a needs assessment. This did not detail people’s communication, oral care and mental capacity, preferences and support needs. Further development was required to ensure this information was reflected in all people’s care plans.

Staff 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 were supported with their nutrition and hydration where required. A relative commented, “Staff make [Name] a sandwich.”

Staff at the service 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 service had a system in place for staff to communicate with each other which enabled them to effectively deliver people’s care and support. Staff had access to an app on their electronic devices where updates and messages could be shared between staff instantaneously. Staff made timely referrals and worked well with other agencies to ensure people's treatment needs were met.

Staff at the service supported people to live healthier lives and where possible, reduce their future needs for care and support. Staff had the knowledge to monitor and identify a deterioration in a person’s health. Other people managed their own health and well-being with the support from their loved ones. Where people required support, such as making phone calls to a person’s GP, staff supported people to do this. A person told us, “I was poorly with one of the carers and she was caring and sympathetic. I did not need a doctor. I felt perfectly safe with them.” A relative commented, “[Name] fell, and the carer turned up while I was calling 999 and they stayed an hour and a half over their time which was really good.”

Staff routinely monitored people’s care and treatment to continuously improve it. They ensured outcomes were positive and consistent, and that they met both clinical expectations and the expectations of people themselves. There was evidence of regular reviews and action being taken immediately following any changes to people’s health needs. A relative told us,” I am always involved in the care plan and any changes to be made.” During reviews, care needs were discussed to improve outcomes. Regular audits were also carried out to monitor and improve outcomes.

Staff at the service told people about their rights around consent and respected these when delivering person-centred care and treatment. People’s consent to care and support was respected by staff. Some improvements were needed to records to ensure mental capacity documents contained all relevant information and were documented in line with the Mental Capacity Act guidance. This included recording all relevant others involved in Best Interest decision making, where people did not have the mental capacity to give consent. The provider told us this would be addressed.