Cura Care

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 was the first inspection for this 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 83 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

Staff made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them. They completed detailed, person‑centred assessments before accepting care packages and only took on support when they could meet people’s needs safely and well. Assessments focused strongly on communication, emotional wellbeing, physical health and risk, and were reviewed as needs changed. For people with complex communication needs, staff demonstrated a detailed understanding of individual communication styles and used total communication approaches, including objects of reference, visual aids and technology, to support choice and involvement in decision‑making. Assessments were strengths based and trauma‑informed, which recognised the impact of lived experience on behaviour and wellbeing.

Staff demonstrated an exceptional commitment to best practice, routinely delivering care and treatment informed by robust evidence, which resulted in extremely positive outcomes for the person. Staff and external professionals described a strong culture of professionalism, learning and collaboration which meant they could provide effective, person‑centred care. The ‘can do’ attitude of staff had led to people significantly improving their health outcomes and being able to lead a more independent lifestyle. For example, staff worked as a person’s family advocate for a full assessment, including neurological investigation, which led to reduced occasions of clinical staff suggesting symptoms the person experienced were related to pre-existing conditions rather than an undiagnosed physical health condition. The significantly reduced risk of a serious health condition being missed and improved their overall quality of life. External professionals consistently praised staff knowledge and the quality of care delivered. Overall, there was strong and consistent evidence of positive outcomes, and sustained improvements in the person’s independence and wellbeing.

The service demonstrated exceptional leadership in ensuring staff, teams and external services worked seamlessly together, resulting in consistently joined‑up and highly coordinated care. Communication between staff, professionals and families was exemplary, enabling people to benefit from a genuinely collaborative, multi‑disciplinary approach. The management team acted as a central coordinator within multidisciplinary teams, maintaining regular communication with health and social care professionals including GPs, social workers, therapists and specialist nurses. Staff supported the person to attend appointments and ensured their views were represented in decision‑making.

Where gaps or delays occurred in external systems, staff escalated concerns and advocated assertively to secure appropriate care. Internal teamwork was strong, with consistent staffing, reflective practice and shared understanding of people’s needs. Staff worked in a coordinated and collaborative way within the service and with external professionals, including social workers, therapists, advocates and other specialist services. Visiting professionals and families described the service as responsive, organised and effective in coordinating complex care pathways. This approach enabled the person to experience seamless, joined‑up care which ensured they accessed all the support needed to improve their quality of life. One professional said, “Cura Care has a strong, values-led approach in the care provided to our patients. We have observed that patients supported by Cura Care often make meaningful and sustained progress.We have also observed that Cura Care demonstrates a clear commitment to person-centred care, ensuring individuals feel respected, supported and empowered. Communication is collaborative and focused on achieving the best outcomes for those they support. As a result, we have found them to be a dependable and valued partner service.”

Staff supported the person to manage their health and wellbeing to maximise their independence, choice and control. Staff supported the person to access healthcare and engage in community activities that promoted independence and wellbeing. Staff took a holistic approach, addressing physical health, emotional regulation, communication and sensory needs. Relatives reported reduced anxiety and increased confidence in the support provided, describing clear benefits for them.

Staff monitored all people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they fully met both clinical expectations and the expectations of the person themselves. They used structured reviews, reflective supervision and quality assurance processes to monitor outcomes. Care plans were updated in response to changes in need, and learning from incidents, health reviews and national guidance were incorporated into practice. Leadership oversight supported a culture of reflection and continuous improvement.

The service told people about their rights around consent and respected these when delivering person-centred care and treatment. Staff demonstrated a good understanding of the Mental Capacity Act and consistently sought consent in accessible ways. Where people lacked capacity, best‑interest decisions were made in collaboration with families and professionals and were clearly recorded. Communication methods were adapted so the person could express preferences and be involved in decisions affecting their lives.