Archived: Turn Up Care 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 Requires Improvement. This meant the effectiveness of people’s care, treatment and support did not always achieve good outcomes or was inconsistent.
 

This service scored 58 (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 did not always ensure people’s care and support provision was in line with their assessment of needs. The registered manager recognised they needed to review their assessment process in line with good supportive living standards and guidance. This would ensure people received care and support which would be based on their support needs and choice.

People’s care and treatment had not consistently been planned and delivered in line with national legislation and evidence-based good practice and standards. For example, the provider had not ensured people received care and support in line with CQC guidance ‘Right support, right care, right culture’ and other associated guidance. The registered manager and staff had not always delivered care in a manner which mattered to people. People and their relatives had not been supported to overcome barriers to enable them to carry out activities which had been important to them such as gardening and meal preparations.

We found the registered manager and staff generally worked well across teams and services to support people. Although people reported staff were respectful, they found some inconsistencies in the approach of staff.

People were not consistently empowered and supported to manage their own health, care and wellbeing needs as much as possible. The registered manager and staff said they had encouraged people to manage their health and wellbeing to maximise their independence, choice and control around their physical health and well-being such as attending exercise classes. However, people felt they had received little support to address their health needs and staff were not always proactive or aware of their progress and how they wished to be supported to achieve their personal health goals.

People reported they had not personally developed while being supported by the service. Although people had been allocated a key worker to monitor their views and well-being; the provider had not ensured this process had been effective in improving people’s outcomes. For example, people’s experience of living in shared accommodation had not been positive as the provider had not considered the compatibility of people living in shared housing or taken sufficient action to address internal issues.
 

The provider told people about their rights around consent and respected these when delivering person-centred care and support. The registered manager and staff understood their responsibility to gain people’s consent when supporting them and the principles of the Mental Capacity Act, if people lacked cognitive abilities to manage specific decisions in relation to their care.