Dynamic Viewpoint Healthcare 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 75 (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 robust procedure in place to fully assess a person’s needs to ensure these could be safely and effectively met by the service. This included one of the management team visiting the person in the setting they already were to get a holistic picture of what they required. Both people and their relatives told us that they were involved in shaping their care and felt fully involved in the initial assessment process. People had copies of their own care plan in their home.

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 detailed their needs; the manager had used nationally recognised tools to assess people’s needs and risks. For example, the Waterlow assessment tool had been used to assess the risk of people’s skin integrity being compromised. Staff members knew people’s needs well and followed the guidance in the care plans to deliver care and support in line with best practice.

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. People’s care plans contained a summary of their needs.

People and their relatives told us that staff were responsive to their needs and supported them to access other health and social care agencies when needed. One relative told us, “[Staff] have been very reactive when [person] needed the dentist. I’ve contacted them and they said they would do the rest.” Staff and the management team had forged good relationships with local external professionals to ensure effective and joined up care. Staff spoke positively about working as a team and with others. One staff member said, “Everyone is very supportive, all of the team you work with. That’s one thing I can say, we all get on and help each other.”

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 were encouraged and supported to make healthy choices, especially around food. One person told us, “I couldn’t stand up long enough to do it all and my back really hurt so they helped with peeling the potatoes and veg. With meal preparations they always help you.”

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.

Staff had daily handovers to discuss any changes in people’s care. These could then be added to care plans if needed. People had regular reviews of their care to ensure it was still delivered in an effective way for them. People and their relatives felt involved in shaping their outcomes and felt changes were made when they requested them. One relative told us, “When we first met with them, they asked if [person] wanted a male carer or not but at the time they were ok. [Person] then changed their mind and wanted a female carer. As soon as we contacted them, they reacted really well and changed the carer to a female carer.”

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment.

Assessments of people’s capacity had been undertaken, and outcomes were recorded in people’s care plans. Staff demonstrated a good working knowledge of the Mental Capacity Act (MCA) 2005, and how this applied to their practice. Where people did not have capacity, any decision making was done in their best interests and with the involvement of any appropriate representatives. Gaining consent was of upmost importance for staff, people told us that staff adhered to this. One person said, “[Staff] are very friendly, and they always ask permission if they can come and help me in the bathroom.”