Medacs Healthcare Plc

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 service made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them.

The service provided information to people and their representatives in the service user guide on how their needs would be assessed prior to them commencing with the service. People’s needs were assessed, and care was planned in line with their wishes and preferences for how they wanted to receive their care and support. Assessments considered the person’s health, care, wellbeing, and communication needs, to enable them to receive care that had the best possible outcomes. Care plans documented what care and support people needed in these areas. Assessments were up-to-date and regularly reviewed to support staff to understand people’s current needs.

The service 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.

People were supported by staff who had access to a range of training to develop the skills and knowledge needed to meet their needs.

People were involved in planning their care and support. Their needs and wishes were detailed in their care plan, including if they had any specialist nutritional or hydration needs. Staff told us, “Dietary requirements are outlined in care plans, and I liaise with healthcare professionals to accommodate any special needs. I monitor dietary intake, encourage regular meals and hydration, and report any concerns to the office” and “You will find any specific or special diet plans in service users care plan including any allergies. All the carers have access to that information, so we can ensure service users are supported to eat and drink enough.All service users are offered a choice of food and drink.” Care plans were reviewed regularly, and changes recorded where required.

The provider always worked well across teams and services to support people. They shared thorough assessments of people’s needs when they moved between different services, so people only needed to tell their story once.

Staff had access to the information they needed to appropriately assess, plan and deliver people’s care and support. Staff told us, “People’s health and wellbeing needs are monitored through the App. We are assigned tasks on every visit. We are required to make notes on the system. I have been working alongside a dietician and a nurse recently regarding a service user. I have also worked with other health professionals in the past” and “We work alongside the district nursing team. We support people to reach their outcomes.”

The service 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.

People’s physical and emotional wellbeing were assessed to support them to live healthier lives. Daily records provided a handover for staff to ensure important information was shared and people’s care and wellbeing were monitored. Staff told us they worked alongside other health and social care professionals to support people to manage their wellbeing. Care plans were reviewed regularly, and changes recorded where required.

The registered manager and staff 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.

People and their representatives were involved in planning their care and support. Care plans were regularly reviewed and updated to reflect any changes to care and support. Daily records were completed to monitor people’s wellbeing and ensure action was taken if people’s emotional or physical wellbeing changed.

People and their representatives had opportunities to feedback on the care and support they received. The registered manager and office staff regularly contacted people and their relatives to ensure the care being delivered remained appropriate and met their needs.

The provider told people about their rights around consent and respected these when delivering person-centred 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 Act requires that, as far as possible, people make their own decisions and are helped to do so when needed. When they lack mental capacity to take particular decisions, any made on their behalf must be in their best interests and as least restrictive as possible.

People can only be deprived of their liberty to receive care and treatment when this is in their best interests and legally authorised under the MCA. When people receive care and treatment in their own homes an application must be made to the Court of Protection for them to authorise people to be deprived of their liberty.

The provider had systems in place to ensure the service was working within the principles of The Mental Capacity Act. Staff had received training in this area.