INSPIRED CARE 4ALL LTD

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• 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.

Assessments considered all aspects of the person’s life and medical history, current medical needs, medication and personal care needs. Risk assessments were then completed and care plans developed to meet identified needs. One staff member told us, “We have full access to care plans before visits, which helps ensure safe and personalised support. Adequate time is always provided to review them properly.”

People and relatives confirmed they had been involved in the development and review of their care plans and risk assessments. One person told us, “I have a care plan, and it’s kept up to date.” A relative commented, “We have a care plan, and it does get reviewed with my input and it reflects the care at the moment.”

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.

Staff were knowledgeable about people’s individual needs and had up-to-date guidance about individual risks to people.Care plans and records of care provided reflected current legislation and best practice guidance. They included who was responsible for providing people with meals and reminders to leave additional drinks where appropriate. One staff member told us, “We are trained to recognise signs of health decline such as changes in appetite, facial expression or mood. For example, in case of possible UTI [urinary tract infection] or pressure ulcers, I promptly report to the office, [the registered manager] advised to call [them] any time if there wereany issues.”

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 provider understood how to seek support from health and social care staff when required. Staff, teams and services worked together with people to effectively deliver coordinated, timely, consistent, person-centred care, support and treatment.Feedback received from an external professional was mostly positive. They told us, “I feel that they [provider] have been effective in sharing communication with myself about any concerns that either I have, or they have. They try and accommodate and meet [person’s] needs by only sending a select few members of staff.”

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’s care plans were person centred around their strengths and how staff were to encourage independence with daily living activities. Staff knew people’s likes and dislikes and how to personalise their routines to support positive outcomes. One staff member told us, “I support clients with dietary requirements such as diabetes; we try to encourage clients to eat healthy. I have been advised always to follow the care plan and dietary guidelines.”

The provider monitored all people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they fully met both clinical expectations and the expectations of people themselves.

Care staff and the management team monitored people’s support and care to ensure this continued to meet their needs. A staff member told us, “We encourage and support clients to engage in community activities whenever possible like going outside in different shopping malls, cafes and encourage them to engage in social activities.”

The provider shared positive examples of improving the outcomes of the people they supported. For example, the provider worked collaboratively with local housing authorities to secure one person a more stable, and supportive living environment specifically designed for individuals with disabilities. In addition, another person was supported by carers to improve their daily living skills and independence. This support increased the person’s confidence in undertaking practical tasks independently.

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

Staff had received training in the Mental Capacity Act (MCA) 2005. Staff understood their roles and responsibilities in relation to the MCA. People’s care records evidenced staff respected people’s choices and decisions. A staff member said,“For those [people] who lack capacity, I ensure their preferences and wishes are respected and documented in line with the Mental Capacity Act. Their decision will always be respected.”

 People and relatives told us staff gained consent and respected their wishes. One relative told us, “[Staff] politely ask before doing anything and explain what they’re about to do. My [relative] feels respected, valued, and involved in [their] own care.”