Goldsmith Personnel Limited (East London)

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. We found care plans were reviewed and updated regularly to ensure the information remained current and that care, support and treatment continued to meet people’s needs and intended outcomes.

People’s needs were assessed and included consideration of their physical, mental health, sensory, social and communication needs. Where appropriate, people and their representatives were meaningfully involved in the assessment of their needs. The assessment informed the development of the care plan and risk assessments.

Staff reported they had access to people's care plans and understood their current needs and the care and support required to meet those needs. A person using the service told us, "They treat me very well and understand my 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.

The provider's policies and procedures reflected current legislation and evidence-based good practice, supporting the delivery of safe and effective care. People's nutrition and hydration needs were met in line with current guidance. Staff supported people to maintain adequate nutrition and hydration by ensuring they had access to sufficient food and drink to reduce the risk of malnutrition and dehydration.

Staff used eating and drinking assessments to identify and monitor people's nutritional and hydration needs. Information from these assessments informed care planning and the delivery of care and treatment, helping to ensure support was provided in line with current guidance and evidence-based practice.

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 reported they had access to the information they needed to appropriately assess, plan, and deliver people's care and support.

External healthcare professionals confirmed that staff followed professional guidance and shared relevant information appropriately. They reported, ‘‘I thoroughly enjoy working with Goldsmith Personnel Ltd. They are very flexible, responsive, and work effectively with both hospital discharge and community teams.’’ and ‘‘No concerns, communication with the management team is excellent, whenever any concerns have been raised (rarely) they have been robust in managing them.’’

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 live healthier lives and, where possible, reduce their future care and support needs. They encouraged and supported people to make informed choices that promoted their health and wellbeing, including maintaining adequate nutrition and hydration, personal hygiene, and oral health. People using the service told us, ‘‘They are very good at supporting with my medicines.’’ and ''They do [family member] cereal or porridge depending on what they want. They will also provide a hot or cold drink.’’
 

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 had a system in place to monitor fluid intake for people at risk of dehydration. This helped to ensure people received adequate fluids and enabled staff to identify and respond promptly to any concerns about hydration. In addition, for people assessed as requiring repositioning, staff used repositioning charts and recorded when people were repositioned to reduce the risk of pressure damage. This enabled staff to monitor care delivery and support positive outcomes for people.

Care plans contained details of each individual's agreed goals and intended outcomes. They included information and actions to support individuals to maintain and improve their quality of life, promote independence, maintain mobility, and support their health, wellbeing, nutrition, and hydration.
 

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

Staff had completed training in mental capacity to ensure they fully understood how to obtain consent appropriately and how to support individuals who may lack capacity. Staff sought consent before delivering care and support. People told us, ‘‘They ask me for permission before doing things.’’ and ‘‘They always ask me what I want.

People’s mental capacity and ability to consent was taken into account, and they or a person lawfully acting on their behalf were involved in planning and managing their care and treatment.