8 Cosway Court

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 registered service. This key question has been rated requires improvement. This meant the effectiveness of people’s care, treatment and support did not always achieve good outcomes or was inconsistent.

This service scored 58 (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 always make sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them. The assessments were completed by the nominated individual. The manager told us, “We go to the person, we ask questions, about any medical conditions, their age, what care they need, dates and hours, medication, any issues, their home, and environmental risks. We then transfer this information to a care plan and contract.” However, we saw this process had not been followed for one person as their medical history had not been discussed.

People told us they had an initial assessment carried out and that their care was regularly reviewed.

The provider did not always plan and deliver people’s care and treatment with them, including what was important and mattered to them. People’s care plans contained limited details to support effective and evidence-based care. For example, one person’s care plan stated they ‘needed assistance’ with eating and drinking, hair care and foot care with no further details about what support was required. However, people told us their care was regularly reviewed and raised no concerns about the support they received. Staff told us they felt they had enough information to support people effectively.

The provider did not always work well across teams and services to support people. There were 3 staff who provided care, and all were also directors of the company. However, there was no evidence of any team meetings or supervisions to demonstrate the staff had discussed key information. Leaders told us they communicated via a [messaging platform], and we saw some evidence of this. However, there was no evidence of meaningful discussions to ensure care was delivered effectively. This meant the provider could be assured that staff were working effectively together.

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

People had limited information about their health and wellbeing within their care plans. This meant staff did not have all required information to support people to live healthy lives.

We were informed by the manager that one person, at times, experienced upset. There was no information within the person’s care plan to guide staff how to support with this, which meant staff may not have known how to support the person’s wellbeing.

However, people told us staff supported them to live healthier lives, by encouraging exercise and by supporting with cooking healthy meals. One person said, “Staff encourage me to go for fresh air and shopping. They always encourage me to go out, they say ‘You can do it’, they encourage me a lot.”

The provider routinely monitored people’s care and treatment to continuously improve it. People told us staff supported them to achieve good outcomes. For example, one person said, “Staff encourage me.” We saw evidence of daily records where staff had recorded the support provided, which included reporting on any distressed behaviours or incidents, and the nominated individual said they reviewed this regularly. Staff told us, “If I notice somebody is eating very little or showing signs of dehydration, I won't just document it I will act.”

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. People had consent forms within their care plans which had been signed by the appropriate person, they told us staff sought consent before supporting them. Staff had completed training in the Mental Capacity Act 2005 and understood how to apply this within their roles. Staff said, “What I understand by the Mental Capacity Act, is an Act to empower and protect individuals who may not have capacity to make their own decisions.”