Enhancing Your 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 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.

The full range of people’s needs and strengths were documented and the information in assessments was personalised. Assessments were used to create a care plan which guided staff about how to provide effective care. This included regarding personal care, nutrition and hydration, communication and activities. One staff member told us, “Especially at first, the care plans and notes give me a good overview of the person. I get their backstory. It helps me know what to expect. It also outlines what care has been approved, and what I’m supposed to be doing.”

People’s relatives told us their family member’s needs were met and regularly reviewed. One relative explained, “We had meetings about what was needed when we first started” and the registered manager told us they checked in with people and relatives more frequently when a new package of care began.

Care records we reviewed showed information was accurate and up to date and recent events or incidents were documented clearly.
 

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.

Staff received training in best practice to ensure they supported people in line with national standards and guidance. The registered manager worked closely with other professionals and told us they would seek advice and support if necessary.

Care records included information about people’s nutrition and hydration needs and associated risks, such as choking.

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.

The registered manager had developed effective working relationships with other health and social care professionals. This was important as it ensured information was shared appropriately, concerns were addressed promptly, and the support provided continued to meet people’s needs, even if these changed. One professional reflected, “In my interactions with my client's carers and the management team, I have found them to be friendly, caring, and professional in their approach.”

Systems were in place to ensure staff communicated effectively with each other, families and managers. This included via phone calls and messaging services, staff meetings and supervision. When shortfalls were identified, we saw action had been taken to improve communication and consistency.

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.

Information about people’s health needs was documented in care records. These were regularly reviewed, which helped staff to monitor health concerns, identify changes, and respond appropriately. Staff told us they would bring any concerns about a person’s health to the registered manager for advice or action if needed. The provider collaborated with other professionals to support people’s health and wellbeing.

Most people managed their own health needs or were supported by family or friends to attend appointments.

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.

The registered manager carried out regular reviews of people’s needs and updated care records. Relatives were actively involved in reviews. A relative told us they had regular meetings with the registered manager to ensure their family member’s needs continued to be met effectively. Relatives said they would speak with the registered manager if they had concerns about outcomes or if expectations were not being met. Staff told us they were informed about changes to people’s needs or the support they provided.
 

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

Relatives told us their family member’s views and wishes were considered and staff always sought consent before supporting them. This included ensuring staff understood the person’s consent when people could not communicate this verbally.

Consent was clearly documented within care records and demonstrated that people and their families had been involved in decisions about the care and support provided.

Staff received training in the principles of the Mental Capacity Act 2005 and put this into practice when they supported people. At the time of our inspection, no-one was subject to restrictions under the principles of the Mental Capacity Act 2005.