Karrthikeya Health Care Limited

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 service. This key question has been rated Inadequate.

This meant there were widespread and significant shortfalls in people’s care, support and outcomes.

The service was in breach of legal regulations in relation to people’s need to consent, and safe care and treatment.

This service scored 25 (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 did not make sure people’s care and treatment was effective because they did not check and discuss people’s health, care, wellbeing and communication needs with them.

The registered manager told us assessments were conducted with people and their families before the service provided care. The service had no records of the assessments. Care plans were inaccurate and did not reflect people’s current conditions and support needs. No process was in place to ensure reviews were regularly conducted, to capture changes in people’s care and support needs.

The provider did not plan and deliver people’s care and treatment with them. They did not follow legislation and current evidence-based good practice and standards.

Peoples care plans did not include person-centred information about people’s nutrition and hydration needs. The service did not ensure records were in place to show monitoring was in place relating to risks and related health conditions.

Care plans contained incorrect information and didn’t reflect peoples’ current conditions and care and support needs. We requested an action plan to address the concerns we found. The provider supplied amended care plans, we noted these continued to lack detail and were not person centered.

The provider did not work well across teams and services to support people. They did not share their assessment of people’s needs when moving between different services.

The service had no records of working with external healthcare professionals. It was only after we requested an action plan the service engaged with a person’s GP to obtain support relating to covert medication and safe support whilst eating.

The service had no records of team meetings, to ensure staff were fully informed about changes in people’s need and to share any learning points. The provider could not provide evidence to show how staff were supported by the management team.

The provider did not support people to manage their health and wellbeing, so people could not maximise their independence, choice and control. Staff did not support people to live healthier lives, or where possible, reduce their future needs for care and support.

Care plans did not include people’s preferences on how they would like their healthcare needs to be supported and level of independence. Guidance from healthcare professionals had not been adopted into care plans and risk assessments. Care plans had no information to promote healthier choices or options.

The provider did not routinely monitor people’s care and treatment to continuously improve it. They did not ensure that outcomes were positive and consistent, or that they met both clinical expectations and the expectations of people themselves.

When people required monitoring of their fluid intake due to a health condition, we found this wasn’t in place. Care plans referred to the monitoring of a range of clinical data including blood pressure, blood glucose and food and fluid. The provider had no records that these clinical checks had been conducted. Care plans did not have information relating to the frequency of these checks, baseline measurements and action to be taken if checks were outside of the appropriate threshold levels. Following our request for an action plan. Food and fluid charts were provided, we noted these were incomplete, they were not calculated at the end of each day, to total the person’s food and fluid intake and some days had no records.

The provider did not tell people about their rights around consent or respect these when delivering care and treatment.

The service was not working within the principles of the Mental Capacity Act 2005 (MCA). When required mental capacity assessments and best interest meetings were not conducted.

The registered manager and staff did not have an understanding of consent and how to support people in decision making. Care plans had no information to support staff to take all practicable steps to help people make their own decisions.