A1 Healthcare Solutions

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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,treatmentand support achieved good outcomes and promoteda good qualityof life, based on best available evidence.This is the first assessment for this service. This key question has been ratedgood.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.

People’s needs were assessed thoroughly before care began and reviewed regularly. Assessments captured health conditions, cultural and religious preferences, and personal goals. For example, one person’s care plan included details about family, faith, and hobbies, ensuring support was tailored to what mattered most to them.

People told us they were involved in developing and reviewing their care plans. A person said,“Yes, we spoke about the development of the care plan. It has had a positive impact on me.”Staff understood individual risks and recorded control measures, such as clear pathways,

Care was delivered in line with best practice and supported by regular reviews. People said staff were attentive and proactive. A person said,“If there is anything wrong such as a sore, they are quick to point it out and tell me to raise it.”Staffmonitorednutrition and hydration, documenting intake and preferences.However, care plans did not always include sufficient detail fornew staffto provide safe care without prior knowledge, for example, specific steps for catheter management. The registered manager acknowledged this and committed to improvements.

Staff worked well as a team andmaintainedgood communicationwith families.Astaff member said:“We work very well as a team; our clients always say we are like family.”The provider collaborated with external professionals, including social workers, district nurses, and occupational therapists, to support people’s health needs. Hospital transitions and emergency support were managed through direct communication with families and professionals, ensuring continuity of care.

People were supported tomaintaintheir health and wellbeing. Staff encouraged medical appointments and liaised with GPs when needed.A person said,“They always encourage me to see medical professionals if I’m not feeling well.”Cultural and religious needs were respected, with staff accompanying people to church and discussing festivals like Diwali. People were supported to stay active and socially connected, for example, attending community events and engaging in hobbies such aswatchingfootball.

The providermonitoredoutcomes through regular reviews, audits, and feedback surveys. Quality assurance processes included spot checks, supervision, and analysis of compliments and complaints. Feedback from people and relatives was positive. People commented,“Staff explain tasks before assisting”and“Always polite and supportive.”An action plan was in place tomaintainsatisfaction and address areas for improvement, such as clearer care plan instructions.

People confirmed staff sought consent before providing care. A person said,“They always ask permission and talk me through everything.”Staff had completed training on the Mental Capacity Act 2005 and understood how to apply it, although recent practical examples were limited. Accessible information was provided verbally and through family involvement, with plans to introduce pictorial and large-print documents to meet the Accessible Information Standard.