Amber Rose Healthcare 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 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 had initial assessments before starting to use the service. Assessments included cognition, mobility, nutrition, medication, and social history. Care plans were personalised and regularly updated, including hospital passports and Do Not Attempt Resuscitation (DNAR) forms. Staff confirmed they read people’s care plans before visits and updated notes hourly or as needed.

One relative said, “I think there is a care plan in the kitchen… I think it would be unrealistic for them to become any more independent.” They praised staff for knowing their relatives’ preferences. Observations showed care plans included triggers and instructions for outings. Professionals were involved in reviews where appropriate.

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.

Staff received up-to-date training to ensure their practice was in accordance with best practice guidance and up to date legislation. People were referred to physiotherapists and occupational therapists for mobility aids, and staff followed care plans for managing behaviour and promoting independence.

A relative commented, “The staff have the skills to look after them, they are well-trained.” Staff said, “We can try new approaches if something does not work.” Staff described updating care plans accordingly.

Care plans included nutrition preferences and risks of malnutrition. Staff encouraged healthy eating. One person told us, “Staff cook lovely meals."

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.

Team meetings were held weekly, and handovers were thorough, both written and verbal. Staff described an “open door policy” and good communication. District nurses visited regularly, and any issues raised were addressed promptly. Staff liaised with other professionals regularly to ensure people’s needs were met. Staff confirmed, “Communication is very good” and gave examples of collaborative problem-solving.

A relative and a social care professional felt that communication between the staff at the service and day care staff could be improved.

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 supported people to access health and social care professionals according to their individual needs.

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent.

Care plans and medication were audited monthly, though improvements were suggested to make audits more robust. Spot checks were carried out, and staff had regular supervisions. Incidents were logged and reviewed, with actions taken such as ensuring a person received physiotherapy after a fall. Compliments from families and professionals were recorded, and staff were encouraged to reflect on practice.

Staff said, “We have team meetings every Monday” and “Managers are supportive”.

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

Consent forms were signed and stored in care folders. Staff understood mental capacity and who to involve if people could not make decisions. Best interests decisions were made in partnership with relevant professionals and family members where people were unable to make decisions for themselves.