Surrey SCP

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.

At our last assessment we rated this key question good. At this assessment the rating has remained 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.

Records confirmed people were regularly asked about their care and what worked for them. Any changes required were actioned.

Care plans were regularly reviewed and person-centred, providing information to staff on how to best support people.

People’s communication needs were assessed to maximise the effectiveness of their care and treatment.

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.

People’s nutrition and hydration needs were assessed and described in their care plans and daily tasks. People’s likes, dislikes and personal preferences were met.

Records showed people were supported with food and drinks when required or requested. When required people’s daily notes contained information on what food was offered and how much a person ate.

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.

Records showed people were regularly asked about their care and changes were made when requested. Relatives told us they were kept informed and felt involved in their family members’ care. 

People’s health conditions were listed in their care plans. Staff had access to factsheets which supported their knowledge on person’s condition or a health need.

Records confirmed staff contacted health and social care professionals when needed. A staff member said, “I will always call the GP or district nurse when a person needs to see them, this could be weekly in some cases. I will meet social workers or occupation therapist with the person when they are being reviewed. Their proactive approach often prevents issues from escalating and helps people maintain their independence.”

Health and social care professionals were complimentary about the service. A professional told us, “The team has worked closely with me to help people remain safe and independent in their own homes.”

The provider supported people to manage their health and wellbeing to maximise their independence, choice and control. The service supported people to live healthier lives and where possible, reduce their future needs for care and support.

People’s care plans contained information about specific health needs. Staff told us they supported people to remain as independent as possible and in charge of their own care.

The registered manager told us they supported people to obtain nutritional supplements to support them with their weight and prevent weight loss.

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 confirmed staff monitored people’s care and treatment. For example, when required staff monitored people’s fluid and nutrition intake. The provider had systems in place to ensure staff could easily and quickly raise concerns about people’s health. Where needed, a member of the management team would then make a necessary referral to an external professional.

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

The provider had a system in place to assess people capacity.

Staff received training in relation to the Mental Capacity Act (MCA) and understood the importance of gaining consent from people.

Staff told us they respected people's choices and understood the importance of MCA. A staff member said, “I follow person’s care plan, communicate clearly, gain consent where possible and always respect their dignity and privacy. If a person lacks capacity, I follow the correct best-interest procedures.”

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