Miracle Workers Agency 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 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 ensured people’s planned care and support met their specific needs by assessing needs directly with the person, their families and loved ones. Where additional information was required from health professionals then the provider took steps to ensure this information was part of the assessment. Care was kept under regular review both with the staff and the service user to ensure needs continued to be met.

The provider made sure care and support was delivered in line with legislation and current best practice. Staff had training and support to understand people’s specific needs, ensuring information an d practices were reflective of current best practice. The provider had a quarterly ‘Carer News’ newsletter and this contained articles relating to health topics. The ‘Carer News Spring 2025’ contained information on eating, drinking and swallowing, and contained detailed information for staff from a public health agency website.

The provider worked well across teams and services to support people. Information about people’s needs was shared effectively when there was change in staff, and people told us continuity of care was kept between staff teams and the management team. Daily care records were completed and accurately reflected the care and support provided.

The provider supported people 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. The management team, staff and leaders worked well with external professionals such as Parkinson nurses and GPs. One person said, “I get all the help I need, when I need it. Support to doctors no problem.”

The provider routinely monitored people’s care and support to continuously improve it. They ensured that the satisfaction of the people was paramount and central to the aims of the service. Case managers who were part of the management team took the responsibility for ensuring care packages were running smoothly, and when necessary to take action to maintain the high standards they aimed for.

The provider supported people to understand and maintain their rights to care and treatment. The Mental Capacity Act 2005 (MCA) provides a legal framework for making particular decisions on behalf of people who may lack the mental capacity to do so for themselves. The MCA requires that, as far as possible, people make their own decisions and are helped to do so when needed. Staff we spoke with had training and understood the principles of the MCA. People’s care records contained information about supporting people with their choices around their care and support.