S-Rock 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 registered 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 71 (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 and relatives were involved in the initial assessments of people’s needs. Relatives told us this process worked well, and one relative confirmed the process was thorough. Leaders talked us through this process which included obtaining consent, completing an assessment of people’s needs and inputting information onto their online care planning system. Leaders left information about the service for people to read, in the form of a ‘Service User Guide’.

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. Leaders told us they kept up to date with current legislation and best practice guidelines, by engaging with other services such as Skills for Care (a workforcedevelopmentbodyforadultsocialcareinEngland), Bright Safe (healthandsafetysoftwaredesignedtohelpbusinessesmanagecompliancewithhealthandsafetyregulationsefficiently) and the local authority. They told us they attended webinars, went to health and social care events, and were part of social media groups for registered managers and directors of care services.

Relatives told us their family member’s care was regularly reviewed. People and relatives were involved in these reviews where appropriate.

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. Staff told us there was good communication among the staff team and staff worked well together. The service worked well with other services. A healthcare partner told us, “Previously they supported a [person] with complex [health condition], and I was very impressed by the extra lengths S-rock care went to train staff to ensure needs were being met. The team demonstrated strong awareness of risk, provided attentive and personalised care, and showed a clear commitment to ensuring safety and comfort.”

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. People had information within their care plans to support a healthy lifestyle. Relatives told us staff supported people to live healthy 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. Relatives told us staff monitored people’s health needs and took prompt action where needed. Staff told us the training they received supported them to monitor needs effectively. Care records demonstrated regular reviews and updates to care plans.

The provider did not always tell people about their rights around consent and did not always respect their rights when delivering care and treatment. Some people did not have any written evidence of consenting to their care or any best interest decision meetings to evidence care was in their best interest. We raised this with leaders who acted promptly. They told us, “I have spoken with our clients and their representatives regarding Mental Capacity Act assessments (MCA) and set up3 appointments to conduct the MCA assessments this week and the others next week.”

Relatives confirmed discussions had taken place with their family members, and confirmed people did consent to their care. Staff had completed training in the MCA and were able to explain how they followed this in their role. One staff member told us, “I know that the MCA empowers people who may lack mental capacity to make certain decisions for themselves.”