Prospect Health Living Care Services Limited

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 71 (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. Assessments were completed prior to support starting and information collected transferred through to care plans. Care records were person centred and reflected how people wished to be supported. Staff had access to care records and demonstrated they knew the people they supported well. People and their relatives told us they had been involved in assessment and reviews of their care needs. One relative told us, “Yes. I am involved in everything all the time.”

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. Staff were supported through regular supervision and training to deliver care and support to people which was in line with good practice guidelines and standards. Some training was in the process of being brought up to date, but plans were in place to address this. The registered manager was keen to also link in with additional training provided by partner agencies to increase the skills and knowledge of the staff team. People and their families told us they were involved in discussions about their care. One relative told us, “I do actually go to the manager and we’ve had a few tweaks.”

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 were positive about the registered manager, their colleagues and how they worked well together as a team. One staff member told us, “Staff morale is generally positive, and I believe Prospect Health Living Care Services Ltd is a good place to work, with supportive management and a team focused approach.”

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. Records showed that people had access to external professionals and where health concerns were noted these were followed up. Care plans were regularly reviewed and updated to reflect any changes in health or support needs. One care plan needed further detail following changes to a person’s diet which was actioned by the registered manager.

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. Daily notes and records were completed to monitor people’s health and wellbeing and care records regularly updated. Feedback from families was positive, particularly in relation to the support offered and the ongoing monitoring of health conditions. One relative told us, “Every time something is wrong with [person] they know. [Person] was admitted to hospital because staff noticed the signs because their knowledge is so good.”

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. The Mental Capacity Act 2005 (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. We found overall the service was working within the principles of the MCA. However, whilst staff recognised the importance of obtaining consent before care was delivered, some staff were yet to complete their MCA training, and some care plans needed additional detail on capacity to guide staff more effectively. The registered manager confirmed that deadlines had been sent for staff to complete training and that care plans would be reviewed and updated.