Reignscare 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 service. This key question has been rated requires improvement.

This meant the effectiveness of people’s care, treatment and support did not always achieve good outcomes or was inconsistent.

The service was in breach of the legal regulation in relation to staffing.

This service scored 46 (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 did not thoroughly assess or plan for people’s needs. Assessments included some basic information, including information about people’s background and things that were important to them. However, there was limited information about their needs. Care plans were not always clear or detailed enough to show how people needed support and the tasks staff should undertake. We discussed this with the registered manager who acknowledged that records needed to improve. However, feedback from stakeholders indicated people received the care they needed and staff knew people well.

People did not always receive evidence-based care. Whilst staff told us they had completed a range of training both with Reignscare and with other employers, there were limited records to show this. Additionally, a professional gave us feedback that staff had not completed specialist training needed to understand the needs of the person they cared for. They told us staff were kind but, “The carers do not seem to have much knowledge about [person’s] condition. This was particularly evidence with [person’s] mental health condition. Staff are unaware of why [person] is behaving in a certain way or making certain decisions.” A review of the service by the local authority also highlighted staff had not undertaken training around mental health or substance misuse to reflect the needs of people they supported.

We discussed our findings with the registered manager who agreed to source specialist training for staff.

Care plans and assessments did not reflect best practice for meeting people’s individual needs and there was limited guidance for staff around this.

Staff told us they felt supported by the registered manager and each other. However, there were not regular staff meetings for them to share their ideas and experiences.

An external professional told us the care staff worked well with them to provide care to 1 person. They explained, “The carers have listened to us and adapted their approach to [person] to enhance engagement.”

There was limited information about people’s healthcare conditions within care plans. The registered manager had listed different conditions, but there were no details about how these affected people and the actions staff needed to take to ensure people were healthy and well.

Staff supported 1 person to ensure they ate, drank and stayed safe. Staff we spoke with demonstrated a good understanding about how decisions the person made sometimes negatively impacted their health. They explained they supported the person to understand healthy choices.

The provider did not always monitor outcomes for people. Staff recorded the care they had provided in logs. The registered manager audited these. However, we found audits had not identified when there were problems. This meant they had not always taken action to address these to ensure people were receiving safe and effective care.

The provider’s systems for obtaining consent were not robust or well recorded. They were not able to demonstrate people had consented to care and treatment or that information about their care had been explained in a way they could understand. However, staff understood they needed to explain information to people and respect their choices. People were able to make decisions about care and staff respected these when people refused care or wanted changes to how they were supported.