St Mary’s Team Care

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

The provider assessed people’s needs before they received a service. This was to confirm that they could meet people’s needs and preferences. People and their relatives participated in needs assessments which covered a range of areas including people’s medicines, health, mobility and risks. They were also involved in reviewing assessments and care. This meant that the care records which guided staff remained accurate and reflected people’s choices around care and support.

The provider 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.

The provider used research informed practice to support people. One relative told us, “St Mary's as a whole have always sought a holistic view of my [family member’s] specific and personal requirements and have sought to meet these.” People’s needs were assessed appropriately, and referrals were made when required. For example, when people presented with choking risks these were assessed by healthcare professionals and staff followed their guidance.

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.

Staff providing care and support were coordinated by office staff who also liaised with relatives, local authorities and healthcare professionals. This enabled information to be shared efficiently between teams and services to meet people’s needs.

The provider 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.

Staff supported people to meet their health needs by accessing healthcare services whenever they were required. These included the GP, district nurses, dentists and opticians. Care records stated whether relatives or staff supported people to these appointments. This ensured there was clarity around support responsibilities.

The provider 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.

The registered manager and nominated individual monitored people’s care and support outcomes. They did this through quality assurance processes including audits of care records, review meetings and feedback from people, relatives and healthcare professionals

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

People consented to the care and support they received. Staff sought and obtained permission from people before supporting them, for example when providing personal care. Staff received training around consent and people’s mental capacity. Where people lacked capacity to consent they were supported with best interests’ decisions and the named individuals, given lasting power of attorney, were noted in care records.