FastFallsResponse Ltd

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• 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

ffective – 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 newly 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 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 confirmed they felt involved in creating and designing what their care looked like on day-to-day basis. People told us as their needs changed, so did their care requirements and the kind of care they received from the provider. A relative told us, “We feel thoroughly involved in both creating and regularly reviewing [person’s] personal care plan. The service stands out for their genuinely advisory approach; they don’t just present a plan but work with us as collaborative partners. They actively listen to our observations and integrate them, while simultaneously offering expert advice that helps us refine [person’s] care. This collaborative style ensures the plan remains a living document that truly reflects [person’s] evolving needs, giving us great confidence in the support [person] receives.”

People’s communication needs were assessed and formed part of their care plan. Information on people needed support with their hearing aids as well as other communication devices was available to staff, helping to ensure people’s communication needs could be met effectively.

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.

Records showed people were supported with food and drinks. People’s care plans were detailed and contained information in relation to their needs, for example when their food or drinks had to be prepared under speech and language therapist (SALT) guidelines. SALT provide assessment of swallowing or communication difficulties for people with medical, neurological and surgical conditions.

A relative told us, “We are very pleased with how the service manages [person’s] nutrition. They are incredibly attentive to [person’s] dietary needs, and we truly appreciate their proactive consideration in adjusting [person’s] meals to maximize nutritional intake. Their willingness to adapt menu based on [person’s] health requirements shows a sincere commitment to [person’s] well-being, and it’s a great relief to know that [person’s] diet is in such thoughtful and capable hands.”

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 maintained records of care visits, which could be shared when required. The service used an electronic care planning system to ensure information about people’s needs was stored centrally and kept up to date. This supported the effective sharing of information and helped ensure people received consistent care and support.

Records confirmed the provider contacted external professionals when required.

Health and social care professionals did not raise any concerns about the provider.

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.

Staff told us they supported people to remain as independent as possible and in charge of their own care.

People and relatives told us staff raised any health concerns with them and supported them when required. A relative told us how much they appreciated the providers responsiveness when their family member had fallen, and staff organised the required external support.

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.

Records showed the provider monitored people’s needs and care requirement. The provider worked collaboratively with external healthcare professionals to support people whose needs had changed. Concerns relating to people’s mobility were identified, raised with relevant professionals, and acted upon. This helped ensure people received appropriate support to maintain their independence.

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

Staff told us they understood the importance of obtaining consent.

People confirmed they were asked for their consent and offered choices. Records showed Mental Capacity Act 2005 (MCA) assessments had been completed for individual decisions. Where appropriate, relatives were involved in making decisions in people’s best interests.

Where necessary, people with legal authority or responsibility can make decisions within the requirements of the MCA. The provider improved their overview of who can lawfully act on person’s behalf during the inspection.