Care In Our Hands 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 63 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

Care plans did not always contain enough detail to ensure people received effective care and treatment. We found people living with a range of health conditions such as motor neurone diseases, angina and diabetes did not have the appropriate healthcare plans in place. This meant staff did not have clear information to support them in identifying and responding to potential risks in a timely and consistent way. However, staff we spoke with did understand people’s health needs and how to respond if they had any concerns despite the lack of written guidance and information.

The provider did not always plan and deliver people’s care and treatment with them, including what was important and mattered to them.

Information in people’s care plans varied and some information in care plans did not always consider national legislation and evidence-based good practice. For example, where people had specific healthcare needs such as diabetes it did not reflect relevant guidelines.

However, there were examples when staff followed guidance and evidence‑based instructions provided by health professionals. For example, one person required a modified‑texture diet due to their health needs. The speech and language therapy team assessed them and supplied detailed guidance, which staff implemented consistently. This ensured the person received fluid and nutrition that were appropriate for their needs.

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

The provider did have effective systems to support consistent communication and information sharing among staff. Staff were able to access up to date information via the electronic systems in place which enabled them to deliver safe and coordinated care. A staff member told us, “We always receive up to date information and information is shared with us.”

The provider supported people to manage their health and wellbeing to maximise their independence, choice, and control.

People were supported to make informed decisions about their care by staff who understood their individual needs and preferences. Staff promoted healthier choices to enhance wellbeing, while recognising and respecting that people had the final say in decisions about their care. Staff said, “I always follow their lead but always try and offer healthy options.”

Staff reported any concerns about people’s health promptly helping to ensure people received timely advice and intervention.

The provider monitored people’s care and treatment to improve it. Systems supported the effective monitoring of the care people received. For example, monitoring charts for food and fluid were available for completion if people needed this. People’s daily notes were used by staff to record action they had taken when they had concern regarding people’s health. For example, one person’s daily notes described a deterioration in one area of their care. This had been reported to management, and a referral was made to the district nurses for treatment.

The provider did not always tell people about their rights around consent and did not always respect their rights when delivering care and treatment.

The provider had a mental capacity policy in place which highlighted the need for staff to have completed training in mental capacity; however not all staff had completed this training therefore the provider was not following their own policy. Information we received from staff indicated that they understood mental capacity. Following this assessment, the provider has shared that they plan to review staff training and improve in this area.