Black Horse 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 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.

Care plans were in place for people. These had been drawn up with the involvement of people and, where appropriate, their relatives. This helped ensure they reflected what was important to the person. They covered needs such as personal care and eating and drinking. The were subject to review. This meant they were able to reflect people’s needs at they changed over time.

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.

The provider was able to provide evidence-based care and treatment. Policies were in line with national good practice and care was given in a person-centred way, in line with the person’s wishes, and people were involved in their assessment of need.

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 provider worked with staff and other services to help support people. Regular staff meetings were held. These enabled staff to discuss ways in which people could be better supported. People were involved in developing and planning their own care.

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.

The service supported people to attend medical appointments and provided feedback on the appointment to family members. Staff supported people with gentle exercises. A person told us, “They [staff] help me with my walking. It’s really helped with my mobility.” People’s health care needs were included in their plans.

The provider routinely monitored people’s care 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.

Support was monitored continuously through daily notes and other records as appropriate. A relative told us, “Everything is recorded, [person’s] medicines, what they eat.” People were able to provide feedback on the support they received to help improve outcomes for them.

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

People told us they were able to consent to their care. A person told us, “Every time they explain in advance to check if I am happy with the arrangements [for care].” Staff told us they obtained people’s consent. A member of staff said, “We will seek consent for each and every task we do for the client.” People had been involved in their pre-care assessments which helped ensure care provided was in line with their wishes. They had signed consent forms to agree to care being provided in line with their assessed needs.