One Impact Care - Ealing

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

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.

People had detailed care needs assessments which described their health conditions, risks and support requirements. Assessments included areas such as mobility, personal care, nutrition, communication and identified risks such as falls, fatigue, reduced balance and long-term health conditions.

Assessments were person-centred and reflected people’s individual needs and circumstances. Records included cultural, religious and communication needs, such as preferred languages, dietary requirements and the need for clear and simple communication.

Care was reviewed regularly to ensure it reflected people’s current needs and outcomes. A six-week review confirmed that people’s care plans were checked after the start of their care package, and that care continued to meet their needs and outcomes. Assessments reflected people’s individual circumstances, ensuring care was personalised.

Staff told us they used care plans to guide their work and reported any changes in people’s needs so that assessments could be updated. This meant care remained responsive to changes.

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.

Care needs assessments provided detailed information about people’s health conditions, risks and support needs, with clear guidance on how staff should support people safely.

Care plans translated these assessments into clear instructions for staff. For example, staff were guided to monitor changes in mobility, breathlessness, fatigue, skin integrity and overall presentation, and to report any deterioration promptly.

People received care based on recognised safe practices, which supported consistent outcomes and reduced risks to their health and wellbeing.

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.

Care needs assessments showed that multiple professionals and services were involved in people’s care. These included general practitioners, pharmacies, social services and family support networks. Records clearly identified who was involved and what support they provided, which helped coordinate care delivery.

Care plans reflected joint working arrangements. For example, responsibilities for medication support were clearly shared between different providers and family members, and staff were given clear instructions about their role in monitoring and reporting any concerns

Staff told us they reported changes in people’s needs to managers, who then reviewed care and updated plans where required. This supported communication within the service and ensured information was shared effectively between staff and external partners.

Care remained coordinated and consistent, reducing the risk of gaps and ensuring people received joined‑up support, ensuring care was delivered safely and effectively.

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 provider promoted healthier lifestyles as part of day-to-day care. The registered manager explained, “We promote healthy lifestyle and make sure they eat well and hydrate,” and described supporting people to remain mobile and maintain routines. A relative confirmed this approach, with one stating, “They encourage and prompt [person] to do physical activities or go for a walk and exercise inside the house.”

Care supported people to access community activities and maintain routines that were important to their wellbeing, including religious and social engagement.

Changes in people’s health were identified at an early stage, allowing appropriate action to be taken and helping to prevent deterioration and helped people achieve positive outcomes in their daily lives.

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.

People experienced positive and consistent outcomes because their care was regularly reviewed and adapted to meet their changing needs. Care plans were updated following reviews, which ensured support remained effective and reflected people’s health, wellbeing and personal preferences.

People’s outcomes included maintaining or improving areas such as mobility, nutrition, personal care and overall wellbeing. Staff monitored people during visits and responded to changes promptly, which enabled timely adjustments to care and reduced the risk of deterioration.

Relatives confirmed care continued to meet people’s needs and described support as consistent and reliable. Records showed that where changes were identified, action was taken to update care and provide appropriate support.

These approaches meant people received care that achieved positive outcomes, supported independence and maintained their day-to-day quality of life.

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

People were supported to give informed consent, and staff had completed Mental Capacity Act 2005 (MCA) training.

Care records clearly described people’s mental capacity and how staff should support decision making. Records stated people could make decisions when information was explained clearly and staff should allow time, check understanding and involve them in choices.

Care plans also outlined communication needs, including, use of simple explanations and when family involvement was appropriate.

Competency assessments showed staff sought consent when supporting with people and understood how to respond if consent was not given, including escalating concerns appropriately.

People understood their care and were supported to take part in decisions, promoting choice and autonomy. This was confirmed by relatives we spoke with.