DBAGZ Solutions Limited Crawley

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.

Peoples’ needs, and choices, were assessed and took account of preferences for their support.

People were involved in the assessment of their needs from the point of referral. Referrals included detailed information from local authorities, including mental capacity assessments where applicable. These informed the service’s own assessment process and initial care planning. Protected characteristics and diverse needs under the Equality Act 2010 formed part of this process. For example, people’s religious needs and preferences were captured.

Care plans were reviewed after six weeks at the start of each package and then annually or sooner if needs changed. This ensured assessments remained accurate and responsive, and that care reflected people’s current needs and preferences. One staff member said, “Care plans are clear and provide enough information for me to carry out my role safely.”

People receive care, treatment and support that is evidence-based and in line with good practice standards. The provider’s systems ensure that staff are up to date with national legislation, evidence-based good practice and required standards.

Care was delivered in line with guidance provided by healthcare professionals. Staff followed tissue viability, pressure care, nutritional, and mobility guidance issued by community nursing teams, dietitians, and therapists, ensuring care aligned with best practice.

The provider ensured staff were trained and competent to deliver this care safely. Engagement with external specialists supported evidence‑based decision making and enabled staff to respond appropriately to changing health needs. One staff member said, “The training and induction provided have been thorough and relevant to my role.”

The service worked well across teams and services to support people.

There was effective coordination between staff, teams, and external services. Information was shared securely and appropriately to support continuity of care. Joint reviews were used to update care plans and respond to changes in need. One staff member said, “I report changes immediately to my supervisor or the office and ensure the care plan is reviewed and updated.”

Staff demonstrated understanding of tasks and followed guidance from external professionals. This collaborative approach supported safe care and improved outcomes for people using the service.

People were supported to manage their own health, care and wellbeing needs by staff who understood their needs and preferences.

Staff supported people to manage their health and wellbeing by monitoring for signs of deterioration and supporting access to health services. Referrals to GPs, nurses, and specialists were made where needed.

Care plans detailed needs and guidance around nutrition, hydration, mobility, and skin integrity, focusing on prevention and intervention. This approach helped maintain health, avoid unnecessary hospital admissions, and promote independence. One staff member said, “I am very alert and able to quickly identify and assess risks and hazards, escalate and report accordingly.”

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent.

Quality assurance systems were in place to monitor people’s outcomes and support. Care plans and risk assessments were consistently reviewed and updated to reflect people’s changing needs and to ensure that safe and effective support continued. Outcomes were monitored through spot checks, medication audits, and feedback processes. Adjustments to care plans and staff practice were made based on monitored outcomes, demonstrating continuous improvement. One staff member said, “If someone’s needs change, I report it to the office or manager and record it in the care notes.”

Training, effective communication and information sharing to and between staff meant they were clear on the standard of care expected by the provider.

People’s views and wishes were taken into account when their care was planned.

People supported by the service made their own decisions about their care and support. Initial assessments of care captured this. Staff consistently demonstrated their awareness of people's right to make choices.

Staff received training on the Mental Capacity Act 2005 and understood the importance of gaining consent and involving people in decisions about their care. Care delivery reflected people’s choices and preferences. One staff member said, “I communicate clearly, offer choices where possible, and ensure that care is provided in their best interests.”