Starmedi Healthcare Services 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 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. There was a thorough assessment process which took place when the service started to support people. We reviewed completed assessments which covered key areas and were detailed. One staff member told us, “I'm made aware of people's assessed needs via word of mouth, phone calls or messages and to keep up with any changes I always check on the system because information is always made available there.”

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. People’s care plans were regularly reviewed to ensure they remained evidence based. The manager told us they kept up to date with changes to legislation by engaging in social media groups for registered managers, and by continually checking websites and platforms. The manager said, “Sometimes you might not know [something], it’s all about interacting with others.”

The provider worked well across teams and services to support people.

Staff meetings took place, however, the same text was recorded across various meeting minutes. This meant the provider could not be assured meetings were always meaningful and supported the development of the service. However, staff told us they worked well together. One staff member commented, “The communication between staff I describe it as good because we always make sure to inform or update each other on information and important updates and services work together.”

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 detailed information within their care plans around how to support them to live healthy lives. This included information about people’s nutrition and hydration needs, and their medical conditions. We reviewed a sample of care records which showed staff supporting people in line with their care plans.

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.

Care plans contained information to guide staff about aspects of care which needed to be monitored. We saw evidence of staff following these plans. Staff told us, “By monitoring changes in their health condition and documenting everything accurately, I will know the risk and prompt them to eat, if it does not work, I escalate the issue with my line manager.”

The provider did not always tell people about their rights around consent and did not always respect their rights when delivering care and treatment. There was no evidence of mental capacity assessments or best interest decisions in place to ensure support was being provided in line with the Mental Capacity Act (MCA)., Staff were supporting people with medicines and finances however there was no documented assessment or best interest decision to demonstrate this support was required

Staff had completed training in the MCA. One staff member told us, “My own understanding of the Mental Capacity Act is I should always act in the best interest of the patient to always have consent from them and support them to make their own decisions.”