Guardian Angel Carers York Also known as Barnabas Care Limited

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 inspection 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 provider made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them.

Detailed assessments were completed with people, and their relatives, prior to people starting to use the service. Reviews of care and support took place regularly and care records were updated when peoples’ needs changed. People told us their care and support were reviewed with them regularly.

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.

People’s nutrition and hydration preferences were identified and supported where needed. People lived in their own homes, so could choose what they ate and drank. The provider and staff placed great importance on supporting people well with their food and drink. Staff had developed menu plans with people. This included ideas, which were shared with all staff, for nutritionally balanced meals based on peoples likes and preferences.

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 service actively engaged with external professionals such as district nurses and GPs to support integrated care planning and responded promptly to changes in health or wellbeing.

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.

Care records included detailed information about people’s health conditions and how these might affect them. Staff told us they were given information, and could ask for additional training, about people’s specific health conditions. One staff member said, “We can request extra training. If there is a specific need, they will find the training and appropriate external support.”

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.

There was a weekly information ‘handover’ shared with all staff, which provided staff with up-to-date information. Any changes to people’s preferences or wishes were communicated to the staff team, tasks and care notes were also updated to show this.

People told us their care and support were regularly reviewed with them. They said, “Every quarter, they call us to ask about the service. There is nothing bad to say about the care staff.”

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

The provider was meeting the requirements of the MCA. Records included assessments of people’s capacity. Staff sought people’s consent to care and support. Staff said, “We always ask before doing any tasks, to make sure you have full consent, consent can change day-to-day, make sure they constantly feel comfortable in their own care.”