Invicta 24 Plus

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 inspection we rated this key question requires improvement. The rating has changed to 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, and others involved in their care, were involved in assessments and reviews of their care and support needs. One person told us, “I have a care plan, and the manager reviews it to make sure all is well.” A relative said, “[Family member] has a comprehensive care plan that is reviewed.”

People’s choices and preferences had been used to plan their care and support needs and were well understood by staff. A staff member told us, “I make sure I understand people’s care needs and how these should be met by carefully reading and understanding their individual care plans and risk assessments which are updated regularly to reflect any changes in their circumstances or requirements. I also maintain ongoing communication with the service user, their family and our managers which makes it much easier for me to know how the individual wants his or her needs to be met.”

Managers monitored and reviewed people’s care and support needs with them, so that their records remained up to date with information about their current needs.

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 care and support was planned and delivered in line with legislation, current practice and standards.

Staff received refresher training at regular intervals so that their skills and knowledge remained up to date with current practice. One person told us, “They are well trained and know what they are doing.” A relative said, “They are well trained, and we have had no issues.”

Managers monitored and reviewed people’s needs at regular intervals, to make sure care and support continued to be delivered in line with people’s choices and preferences.

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 worked well together and shared information and updates about people to ensure a consistent approach to the care and support provided to them. A staff member told us, “We communicate closely with colleagues, managers and where appropriate, families or other professionals to share information about potential risks. Observing individuals during our visits and remaining alert to any changes in their behaviour or environment helps us to spot early signs of risk.”

Managers worked proactively with health and social care professionals to make sure people received appropriate support for all their care and support needs. A relative said, “They will discuss plans with other health professionals to provide [family member] with a package of care that will provide him with the best care possible to meet his needs.” A healthcare professional told us, “[Deputy manager] is fantastic at communicating with me and keeping me updated with any questions I may have. There may be times that I require a supervisor present at one of my assessments and I will ask [the deputy manager] if this can be arranged. This has never been an issue and Invicta 24 are happy to support.”

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 need for care and support.

People were supported by staff to stay healthy and well in line with their needs and wishes. A relative told us, “Having the carers is a great help to me and we are managing to keep our independent lifestyle with their support.” Another relative said, “They really keep an eye on [family member]…It is very reassuring that the carers alert me to various issues that could cause a problem for [family member’s] well-being and I feel very confident in their ability.”

Staff understood people’s needs well and the importance of providing care and support in line with people’s care and risk management plans. This helped support people to stay healthy and well. Staff monitored people’s general health and wellbeing. They reported any concerns they had to the relevant healthcare professionals so that people received appropriate 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.

Staff maintained records after each care call of the care and support provided to people and their observations about people’s health and wellbeing. A relative said, “The documentation that is kept in [family member’s] house is clear and concise and amazing. It provides a clear picture of activities that have been undertaken and how [family member] feels on each call.”

Managers reviewed these records at regular intervals. This helped them monitor the care and support provided to people to make sure this was helping people achieve their care goals and outcomes. A relative told us, “As the manager is in continuous contact, [family member’s] care needs are updated on a regular basis due to any changes in condition.”

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

Staff made sure people understood their rights around consent before supporting them. A relative told us, “The carers communicate well with [family member] and inform him of what they’re going to do and if he is happy for them to proceed.” A staff member told us, “I ask for [people’s] consent before providing any daily support during my regular visits.”

The provider had made improvements in this area. The service was now working within the principles of the Mental Capacity Act (MCA) 2005. Managers now made sure, where people could not make decisions, their nominated representative had the appropriate legal authorisation to do so on their behalf, and in their best interests. This information was clearly recorded in people’s care records.