Pure Moments Ltd

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 newly registered 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 71 (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 and the registered manager had processes to ensure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them.People and relatives were involved in the assessments of their needs, and support was provided where needed to maximise their involvement. People’s individual needs had been appropriately assessed and were fully understood by the staff. Relatives told us people’s needs were met and understood by the staff team, and they would be informed of any changes.One relative added, “Getting the same staff all the time means that rapport and knowledge is continuous and beneficial to all.”

The provider planned and delivered people’s care and treatment with them, including what was important and mattered to them. People received care, treatment and support that was in line with good practice standards and achieved good outcomes for them. People and relatives were included in discussions and reviews around their care and how this was to be delivered. The provider and the registered manager were motivated to plan and deliver people’s care and treatment, including what was important and mattered to them. People’s nutrition and hydration needs were met in line with current guidance, and it was managed with staff and relatives support where needed.

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 provider, the registered manager and staff worked and communicated well with people and relatives to share any information or changes between them. Staff said the registered manager undertook a lot of spot checks. One member of staff said, “You arrive at the call, and before you know it, they are behind you, doing a spot check”. Staff said the registered manager watched them delivering care, or did it with them, checked they did everything on the care plan and spoke with people to ensure they were happy with the service. People received care and support from the staff who knew them and their needs well. This meant they received person-centred care that was meaningful to them. Where needed, the provider or the registered manager would contact relevant professionals to work together and look after the people. One relative said, “I live away from [the person] so to have a carer that will assess whether or not GP has to be called, is so wonderful.”

The provider, the registered manager and staff supported people to manage their health and wellbeing to maximise their independence, choice and control. Staff supported people to live a healthier life and where possible, reduce their future needs for care and support.Staff said they monitored people’s health and wellbeing every time they visited and reported any changes in the daily notes and to the registered manager by phone. Staff gave examples of how they supported people to look after their health. For example, intake of fluids and signs of infections, changes in behaviours or emotional wellbeing. The registered manager and the nominated individual explained how they supported people to monitor and prevent any deterioration of health and wellbeing. They also communicated with families and health professionals if they were to see any changes with people.

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent. People received care and support that was co-ordinated, and everyone worked well together.Staff supported people, so they were enabled to live as they wanted to, seeing them as a unique person with skills, strengths and goals. Staff were patient and used appropriate styles of interaction with people and relatives. The provider, the registered manager and the staff worked together to use effective approaches to monitor people’s care and treatment and their outcomes.Staff said they attended monthly staff meetings and supervision every two months, they felt these meetings were informative and supportive. In addition to planned meetings staff felt they could contact the registered manager at any time for advice. Staff said monthly meetings were “Good for staff moral and general updates” and “The last meeting had been about CQC coming”.

The provider considered people’s rights around consent and respected these when delivering person-centred care and treatment. However, some of the records needed improvement. For example, we found that people’s records had a range of consent forms that had been signed by someone who did not have a legal right to do so. We spoke with the registered manager and the nominated individual about the consent forms and who could legally sign them.The registered manager explained how they encouraged staff to understand seeking consent from people and respecting their decisions, wishes and any preferences. The registered manager stressed the fact the staff were in people’s homes, and they had to be respectful.People’s rights to make their own decisions, where possible, were protected. Staff understood individual needs of people and helped them make decisions. Staff supported people to make decisions, choices and look after themselves. People and relatives agreed that staff were respectful when supporting them.