All4One Care Services 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 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.

Staff completed in depth assessments of people’s needs, prior to them beginning to use the service. These helped ensure staff supported people in line with their preferences and health professional’s guidance and feedback.

The manager had made referrals to health professionals to explore how they might improve a person’s home to provide a more stimulating environment that considered their various health needs. This also included how to extend the person’s activities into the local community safely, which was currently limited.

The manager was not aware of tools such as the quality-of-life tool used by CQC to measure the impact of care provided to autistic people and people with a learning disability. However, they were following the principles of this support, and all staff had received training to support people with a learning disability.

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.

One person had been introduced to staff who would support them in their supported living accommodation, daily over a 3-month period. Staff told us, “This meant when [person] moved from their long-term hospital placement into a new environment, they felt comfortable with us, which was important as it was such a big transition.” Another said, “When [person] arrived, we were waiting for them, and they gave us a hug because we had already developed positive relationships, and they knew us well.”

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. Records demonstrated there was a range of health professionals involved in supporting a person, including how and when to contact them outside of regular appointments. This meant there was quick access to guidance and support if the persons health deteriorated.

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.

Managers regularly reviewed care and changes in people’s needs, aided by the electronic care records system in place. This meant that changes in a person’s presentation could quickly be assessed and managed. For example, where a person had displayed distress, staff completed an ABC (Antecedent-Behavior-Consequence) tool, which identified the lead up, what the distress was and any consequences. Managers were able to review this in real time to identify themes and trends and put measures in place to decrease the risk.

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.

Managers regularly reviewed care and changes in people’s needs, aided by the electronic care records system in place. This meant that changes in a person’s presentation could quickly be assessed and managed. For example, where a person had displayed distress, staff completed an ABC (Antecedent-Behavior-Consequence) tool, which identified the lead up, what the distress was and any consequences. Managers were able to review this in real time to identify themes and trends and put measures in place to decrease the risk.