Prisima 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 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. Prior to people starting to use the service, they were visited by the registered manager and staff to discuss their care needs. People and relatives told us they found this beneficial and ensured the support they would be receiving would be in line with their preferences. One relative said, “[Registered manager] came out and stayed about an hour and half discussing what we needed and did a care plan. They were really good. Then the first day [family member] was out of hospital the carer was there at 6.30pm with all the information and just did everything [family member] needed.” Another relative said, “[Registered manager] is really lovely. They came out first and still come out sometimes. We are never and have never been left without cover.”

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. Care plans included specific information regarding people's dietary requirements. For example, a person required a low intake of carbohydrates due to their diabetes and another person required thickened drinks and a blended diet. Staff were knowledgeable about these requirements and ensured people were supported accordingly.

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. Staff told us they worked well together. One staff member said, “We support each other well and work as a team.” Staff worked well with external professionals and used their advice to improve care.

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 healthcare professionals. One relative said, “We do have contact with the falls team and the carers do know to call them if necessary or the ambulance and to stay with [relative] if necessary. They know what they have to do but we haven’t had that happen recently.”

The provider 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. People's desired outcomes were included in care plans. For example, 1 person wished to remain in their own home for as long as possible and they required staff to support them to achieve this goal.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. Care plans included information about consent to care and staff told us they always communicated with people to ensure they were informed. Staff and leaders understood and worked in line with 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. The MCA requires that, as far as possible, people make their own decisions and are helped to do so when needed. When they lack mental capacity to take particular decisions, any made on their behalf must be in their best interests and as least restrictive as possible.