Respect 4Care 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 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 ensured people’s needs were assessed comprehensively before care began and reviewed regularly. Assessments included health conditions, communication needs, mobility, nutrition, and emotional well-being. Care plans contained detailed sections such as “About Me,” which captured people’s life history, preferences, and goals. For example,a person’s plan recorded, “I like staff to speak with me at all times and explain what is happening and why.” Risk assessments for falls, medication, and equipment were completed and updated promptly when needs changed. Relatives confirmed involvement: “We went through each individual care plan with management. They come regularly to see if any changes need to be made.” This approach ensured care was tailored and responsive to people’s evolving needs.

Care and support were delivered in line with best practice guidance and professional recommendations. Staff demonstrated knowledge of conditions such as Parkinson’s and dementia and followed occupational therapist instructions for safe moving and handling. Care plans included pictorial guides and step-by-step instructions for tasks such as transfers and applying prescribed creams. A relative told us, “They have to be really gentle and do this very well. When my relative has had urine infections, they are quick to pick up on this and make sure they get tested.” Medication records were accurate, and audits were completed monthly to maintain compliance. Staff had completed training in medication administration, infection control, and mental capacity, ensuring care was safe and effective.

Staff worked collaboratively with families and external professionals to meet people’s needs. The registered manager described strong links with physiotherapists, district nurses, and hospitals to support continuity of care during transitions. Staff confirmed they used care apps and WhatsApp groups to share updates and escalate concerns promptly. Staff said, “If I have a problem, I’ll put it on the WhatsApp group, and someone will get back to me.” Team meetings were held monthly, and staff were encouraged to add agenda items, promoting open communication. This ensured everyone involved in people’s care had access toaccurate,timelyinformation.

People were supported to maintain independence and healthy routines. Staff encouraged mobility and hydration, noting preferences and goals in care plans. A relative said, “Over the last 2 months they [Name] have been walking around the bungalow a lot more than they were when they first went with them.” Another person told us, “They encourage me to do what I can.” Staff monitored nutrition and hydration, recorded intake, and reported concerns promptly. People were supported to attend appointments or access healthcare when needed, and staff liaised with families to ensure continuity of care.

The provider had robust systems tomonitorand improve outcomes. Monthly audits, spot checks, and quality governance meetings were used to review care plans, medication records, and incident logs. Action plans were implemented where improvements were needed, and outcomes were tracked. Staff told us, “Care plans are always being updated. We have WhatsApp group if we need help then we have someone there to support orassistus.” People and relatives confirmed improvements were made when issues were raised. A person said,“They do take action on what’s discussed.” Annual surveys showed high satisfaction, and feedback was overwhelmingly positive.

Staff understood and applied the principles of the Mental Capacity Act 2005. People told us staff always sought consent before providing care. A person said, “They know what I need doing and they always start with consent. They always ask permission for things.” Where people’s preferences changed, staff respected their decisions and informed families. Training records showed staff had completed mental capacity and safeguarding training, and care plans included sections on advanced care planning and end-of-life wishes. This ensured people’s rights and choices were upheld.