P & N Healthcare Services Ltd - Gloucester

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.

Prior to the start of their care package, the registered manager thoroughly assessed and understood each person's needs to ensure the service could fully meet their care and support requirements. They met with people and their relatives to discuss their support needs and to develop a person-centred care plan which focused on how people wished to be supported and any associated risks. The registered manager planned to review their service user guide to ensure people had the information they needed to understand the terms of the service and the provider’s contact details.

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.

The provider’s policies and staff training was underpinned by evidenced-based care and support. Monitoring systems were in place to ensure staff followed best practice and had the information and guidance they needed to carry out their role safely and effectively. The registered manager linked with national and local networks to assist them with understanding any changes in national guidance.

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.

The registered manager and staff worked well with each other. There were clear and effective systems for staff to communicate with each other and the management team. Staff worked collaboratively with people, their relatives and external professionals to share information. The provider held regular team meetings to discuss and debrief staff after incidents, policies and areas of good practice.

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.

Most staff had completed to assist them in understanding and managing people’s medical conditions. The registered manager explained they supported staff to understand people’s needs and to identify any emerging risks and to escalate any concerns. They said, if needed, staff would be made available to support people to attend health and social care services or make referrals on people’s behalf such as contacting the person’s GP.

The provider did not always routinely monitor people’s care and treatment to continuously improve it. They did not always ensure that outcomes were positive andconsistent, or that they met both clinical expectations and the expectations of people themselves.

Staff completed records of the care they provided and any changes in people’s health and support needs, which were continually monitored by the registered manager. We noted on one person’s monitoring records they had not always received a specific element of their care in a timely manner and in line with their care plan and external recommendations. Whilst we found no impact, this may compromise the person’s health. This was raised with the registered manager who took immediate and implemented measures to prevent further occurrences.

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

As part of people’s initial assessment and ongoing reviews, people consented to their care and treatment. People and their relatives told us staff asked for consent during each visit and were able to make decisions about their care.

The registered manager was aware of their legal responsibility when supporting people who lacked the mental capacity to ensure specific decisions about people’s care was completed in their best interests and legal requirements.