London Borough of Ealing

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 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 registered manager assessed people’s needs and choices with them and their relatives. They asked about the things that were important for people and planned care to reflect this. People and relatives told us care plans and assessments were comprehensive. A relative said, “We are happy with the care that is planned.” People and their relatives had signed care plans and agreements to care. Relatives told us the agency was responsive to requested changes and regularly reviewed people’s needs. Records confirmed this.

People received evidence-based care. The provider developed assessments and care plans based on good practice tools. The registered manager ensured staff completed a range of training. They shared information with staff about best practice. The registered manager was a qualified trainer and provided some of the training at the agency. Staff confirmed this and told us they had opportunities to discuss training with managers and each other. Comments from staff included, “I have had a lot of training which has equipped me for the role” and “There is an ongoing programme of online and in-person training. In meetings the [registered] manager discusses this and tests our knowledge.”

Staff worked well together, sharing ideas and information. Staff told us they had regular meetings and discussions with each other and the registered manager. There were systems for sharing information with staff and requesting updates. A staff member told us, “There is good teamwork.”

The provider supported people to live healthier lives. The registered manager assessed and recorded information about people’s health conditions. They shared this with staff to help them understand about risks and how to keep people safe. Staff monitored people’s health and reported concerns to their relatives and the registered manager. There was information about the healthcare professionals involved in people’s care so staff could contact these professionals if needed. Staff supported people to have healthy food and access to drinks.

Staff monitored people’s wellbeing. They completed logs of care which showed they had followed care plans and checked people’s comfort, wellbeing and health during each visit. The registered manager reviewed these logs to ensure people were receiving care as planned. The registered manager regularly met with people to discuss and review their care.

The provider obtained consent from people using the service. People were involved in creating and reviewing care plans. They made decisions about their care and staff respected these. For people who could not make some decisions, the registered manager discussed these with people’s representatives to help make sure decisions were made in people’s best interests. People told us staff always obtained consent before providing care.