CJ Noah Healthcare

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 were effective because they did not always check and discuss people’s health, care, wellbeing and communication needs with them.

Care plans were not accurate or complete. For example, records stated 1 person was unable to communicate things they may need however, their communication plan was not completed so there was no guidance for staff on how to best support the person with their communication or anticipate their needs. Assessments did not focus on people’s strengths and did not meaningfully involve other people involved in their care.

However, staff demonstrated that they had a good understanding of people’s needs and knew their strengths so they could promote their independence. People we spoke to told us staff met and understood their support needs. One person told us “I was involved in my care plan; we went through what I needed help with.”

The provider did not always plan and deliver people’s care and treatment with them, including what was important and mattered to them.

Care plans did not include information about people’s nutrition and hydration needs or risks. The care plan for 1 person identified that they were at risk of malnutrition however their nutrition and hydration support plan was not completed. For someone identified as being unable to express when they were hungry or thirsty there was no guidance for staff on how to ensure they met their needs.

However, people raised no concerns in relation to staff competence. Staff told us how they discussed risks with people and sought guidance from professionals including occupational therapists and physiotherapists.

The provider worked well across teams and services to support people.

Staff had access to people’s profiles via their care planning application which had important contact information. We saw evidence the provider liaised with other health professionals and relevant family members to discuss people’s needs. Staff told us they were in daily contact with each other which meant any important updates were shared and staff told us they felt there was effective communication in the team. People received care from the same staff which provided them with consistency.

Care plans did not always include people’s preferences on how they would like their healthcare needs to be supported. They did not always focus on people’s strengths or outcomes. There was no healthcare guidance from other services or information on how to promote healthy choices and options for people.

However, staff discussed the importance of people feeling empowered and independent which was reflected in the feedback we had from people. Staff told us “We respect [people’s] choices, whenever they want to make their own decisions, we follow their preferences, promote their independence, make sure they do what they are able to on their own, prompt them instead of doing it for them”.

The provider did not always routinely monitor people’s care, health, and wellbeing to make sure it was effective and met their needs. For example, daily records did not always indicate where a task had been completed or provide detail about anything that had happened. This meant the provider could not effectively review and adapt people’s care as their needs changed.

However, care met people’s expectations and people were happy with the communication from staff. One person told us "They come at the right time and stay the full time and do everything that I need them to do."

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

People were in charge of their support and signed to confirm consent to their care plan. One staff member said, “For me it is protecting someone's information and not sharing with people that don't need to know, seeking consent before sharing their information.” Staff explained the importance of people making their own decisions no matter what their health needs or disability. People told us that staff would seek their consent before completing a task.