Fresh Tree Care Services – Surrey Branch

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 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.

People’s care and support needs were assessed before they started to use the service. Staff had access to information about people’s needs, through the provider’s electronic care planning system. People’s care and support needs were assessed, reviewed, and updated regularly or as their needs changed. People’s records were accurate and reflected the care they were receiving. There was a clear review processwhich ensured the person was involved, this included those important to them. A relative told us, “They are really good at involving us every step of the way.”

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 and where appropriate their families were involved in creating care plans and risk assessments. The registered manager, deputy manager and staff told us they worked with people following good practice guidance. This included working to support people’s nutritional needs, mental health and general wellbeing. Evidence-based care underpinned policies and procedures.

The service 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.

People told us information about their care was shared as needed and confidentially. Staff kept detailed records of their care and support visits, and these were shared as required with external professionals. The registered manager and deputy manager had oversight of records and could access details of care as required. Examples included where information had been shared with the GP and the social worker. External professionals who worked with the service did not raise any concerns.

The service supported people to manage their health and wellbeing to maximise their independence, choice and control. The service supported people to live healthier lives and where possible, reduce their future needs for care and support.

People were supported by staff to live a healthy lifestyle; this included their physical health and mental wellbeing. A person told us, “When I have had enough, they always pick me up, I’ve had a lot of stress, and they have helped me through it.” Care plans and risk assessments were clear and accessible. People’s nutritional needs had been assessed and there were clear instructions in place, this had included where a person had difficulty swallowing or needed to increase their fluids. Information about people’s needs was shared efficiently as records were electronic. Staff knew about people’s health needs. Plans were in place for each person to ensure changes were recognised and communicated to the relevant specialist service. Staff had received training in health conditions and emergency actions.

The service 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 shared examples of how their lives had improved since receiving care and support from the service. Records detailed clear goals and outcomes for people, and this included instructions for staff. Each care plan and risk assessment were individual and unique to the person. A member of staff said, “If there are any changes in my client’s condition, for example, changes in mobility or health deterioration, I make sure there is timely escalation to ensure their safety and wellbeing.”

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

People told us they were treated with respect and supported to live their lives. Where appropriate, relatives had been involved in decisions made on the person’s behalf. Consent was sought from people and where necessary in accordance with the Mental Capacity Act 2005 (MCA). Decision making was supported by clear policies and processes. The registered manager and deputy manager understood the principles of the MCA and staff training for MCA helped ensure people’s rights were respected. Care was planned in the persons best interest, in the least restrictive way and in consultation with the person and those important to them. Where people had given a relative or friend the legal authority to act on their behalf in matters such as their health and welfare needs, the correct documentation was in place.