Meridian Health and Social Care - Manchester North

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.

At our last assessment we rated this key question requires improvement. At this assessment the rating has changed to 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.

Care plans were up to date and regularly reviewed. People were involved as much as possible in their needs assessments and felt their needs had been captured and understood. They told us, “The manager reviews my care to make sure I am happy with everything” and “[Relative] care plan is reviewed and we are listened to.”

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 provided with guidance, training and support to meet people’s needs.

People’s nutritional and hydration needs were met in line with current standards and evidence-based guidance. People were supported to eat and drink and were supported to manage their dietary needs and associated risks.

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.

Office staff were in regular contact with external health and social care professionals. They ensured concerns or changes to people’s care was escalated appropriately.

Staff were mostly positive about their contact with office staff. They told us they felt supported, and the office staff were responsive. Staff in the community and office staff felt supported by the registered manager.

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 supported with agreed tasks and people experienced positive outcomes related to these needs.

Staff made sure referrals to appropriate health services were made quickly when people’s needs changed and supported people to implement any recommendations. People and families told us, “The carer noticed [relatives] health seemed to decline and [relative] was a bit jaundiced. This resulted in a hospital admission, and it was a problem with [relative] gall bladder” and “My main carer noticed that I had spots on my arms that could end up as infected blister and was monitoring this. [Staff] noticed that the blisters were spreading and getting worse. [Staff] rang my [family] and said that I needed to go into hospital as the infection was spreading. I went to the hospital and was given IV antibiotics, so [staff] did the right thing in alerting my [family].”

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.

People were positive about the support they received to ensure their needs were met. They told us, “They do everything I ask of them, and I am happy with the support they give me” and “The company are always on the phone checking to see if there are any changes in medications or if there are any additional needs.”

The provider considered feedback from people, their families, carers, professionals and stakeholders as appropriate when monitoring people’s outcomes.

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

Staff received training and policies were in place to support compliance with the requirements of the Mental Capacity Act.

Care plans needed more person-centred information about capacity and consent to make it clearer when people did or did not require support to make decisions.