Archived: Deebeetom Ventures Ltd t/a New Living (Durham Office)

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 of this service. This key question has been rated requires improvement. This meant the effectiveness of people’s care, treatment and support did not always achieve good outcomes or was inconsistent.

This service scored 58 (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 did not always make sure people’s care and treatment was effective because they did not always check and discuss people’s health, care, well-being and communication needs with them. The registered manager met with people and their relatives before packages of care started to ensure their needs could be met by the service. A person commented, “The boss came the other day to ask about my needs they were very nice.” The registered manager completed a needs assessment. However, this did not detail people’s communication, oral care and mental capacity, preferences and support needs. Further development was required to ensure this information was reflected in people’s care plans. The registered manager told us this would be addressed.

Improvements were needed to ensure staff planned and delivered people’s care and treatment with them, including what was important and mattered to them. Ensuring this was in line with legislation and current evidence-based good practice and standards. People were supported with their nutrition and hydration where required. However, we advised nutrition care plans should provide guidance for staff of how people were to be supported. Information should also be available about any food allergies, modified diets and food likes and dislikes of the person.

Staff at the service 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 had a system in place for staff to communicate with each other which enabled them to effectively deliver people’s care and support. Staff had access to an app on their electronic devices where updates and messages could be shared between staff instantaneously. Staff made timely referrals and worked with other agencies to ensure people's treatment needs were met.

Staff at the service supported people to live healthier lives and where possible, reduce their future needs for care and support. Staff had the knowledge to monitor and identify a deterioration in a person’s health. Other people managed their own health and wellbeing with the support from their loved ones. Where people required support, such as making phone calls to a person’s GP, staff supported people to do this. A person commented, “I know staff would call me an ambulance, if needed.”

Improvements were needed to ensure staff routinely monitored people’s care and treatment to continuously improve it. There was a system of review and regular audits were also carried out to monitor and improve outcomes. However, we advised there should be a system of review of people’s care needs, involving all people relevant to the person to discuss their care package. There was a system of regular evaluation of risk assessments and care plans. However, the monthly evaluation did not include a summary of how people had been over the month, to monitor their health and well-being to ensure all their needs were being met.

Staff at the service told people about their rights around consent and respected these when delivering person-centred care and treatment. People’s consent to care and support was respected by staff. A staff member told us, “People have the right to make decisions about their care, and their consent must be obtained.” Some improvements were needed to care records to ensure mental capacity documents contained all relevant information and were documented in line with the Mental Capacity Act guidance. This included recording all relevant others involved in Best Interest decision making, where people did not have the mental capacity to give consent. The registered manager told us this would be addressed.