Enerst Care Carlisle

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,treatmentand support achieved good outcomes and promoteda good qualityof life, based on best available evidence.

This is the first assessment for this service. This key question has been ratedgood.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.

Care records were detailed, person-centred, and reflected individuals' assessed needs and preferences. Records demonstrated an understanding of the importance of maintaining accurate and up-to-date information, and a sample of records reviewed were found to be current.

Although formal assessment tools were not currently being used due to an absence of identified need, staff demonstrated a good understanding of when such tools should be implemented for example nutritional assessment tools. They were also able to explain how they would seek advice and support from relevant healthcare and other professionals to ensure people's needs were appropriately assessed and reviewed.

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 service demonstrated a commitment to delivering evidence-based care through the use of policies, procedures, and recognised best-practice guidance. Staff were aware of the importance of monitoring outcomes for people using the service and described how these were reviewed to ensure care remained effective and responsive to changing needs.

Staff were knowledgeable about relevant clinical guidance and assessment processes, including NHS guidance and the Waterlow assessment tool where appropriate. They demonstrated an understanding of how such guidance supports the identification and management of risks and promotes positive outcomes.

Staff were also aware of National Institute for Health and Care Excellence (NICE) guidance and explained how this is used to inform practice and support.

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 worked effectively in partnership with a wide range of health and community professionals, including GPs, district nurses, and other healthcare services. Referrals were made promptly when concerns were identified, and professional advice and guidance were consistently followed to support people’s health, wellbeing, and safety.

Staff demonstrated a clear understanding of when concerns needed to be escalated. Staff worked collaboratively with relevant professionals to ensure people received appropriate monitoring, timely assessments, and treatment. This joined-up approach helped to promote positive outcomes and ensured people received coordinated, person-centred care that met their ongoing 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.

The provider supported people to live healthier lives through effective care planning, regular monitoring, and collaborative working with healthcare professionals. Care plans contained information about people's health needs, preferences, and the support required to maintain their wellbeing. Records were completed consistently, enabling staff to monitor health concerns, identify changes, and respond appropriately.

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 provider had effective systems in place to monitor people's care, health, and wellbeing to help achieve positive outcomes. Information was clearly documented within care records, providing staff with accurate and up-to-date information about people's needs, risks, and progress. Records demonstrated that care was reviewed regularly and updated when people's circumstances changed.

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

The provider had systems in place to ensure consent was obtained and recorded appropriately. Consent was clearly documented within care records, providing evidence that people had been involved in decisions about their care and support.

A consent policy was in place to guide staff in seeking and recording consent in line with relevant legislation and best practice. Staff demonstrated an understanding of the principles of the Mental Capacity Act (MCA) and had received training to support them in their roles.

Consent forms were completed and retained within care records for a range of purposes, including the use of photographs and the use of electronic care systems. Where people lacked capacity to make specific decisions, MCA assessments and best-interest decision-making processes were completed appropriately.