True Nest Care Limited

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

The registered manager took a person-centred approach to assessing people’s needs, they involved people and relatives where appropriate in the ongoing arrangements. Assessments looked at people's needs holistically by covering their health, care, and communication requirements. This ensured the service fully understood each person's individual situation.

People's past experiences were considered, including their history with previous care agencies or past hospital stays. Assessments noted what had worked well for the person before and where they had previously faced challenges. Care records clearly outlined people's personal wishes and views, describing essential details like their daily routines, important relationships, and treasured belongings.

People benefited from ongoing assessments, which included routinely scheduled reviews as well as reactive updates whenever their condition or needs changed. This process kept both needs assessments and care plans accurate, ensuring the team always delivered highly effective, up-to-date care.

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.

People and relatives were involved in care planning and deciding how they wanted their care to be delivered. One person told us, “The manager involves me in any changes to be made to my care arrangements.”

The registered manager was proactive in keeping staff up to date regarding current clinical guidance and staff were provided with ongoing learning opportunities to continue to improve outcomes for people.

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 registered manager and the staff team worked collaboratively with other professionals such as district nurses, GPs, social workers and therapy teams to ensure people received well-co-ordinated care which met their individual needs.

Management and staff communicated via an instantaneous messaging service and digital notes were shared to ensure all staff were aware of how to respond to any changing 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.

Where identified and agreed in people’s care arrangements staff encouraged them to make healthy lifestyle choices such as increasing their physical activity or maintaining a balanced diet to promote their wellbeing. Some people had identified their own health goals such as improving their mobility and maintaining their independence which staff supported them to achieve.

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 ensured that outcomes for people living in their own homes were positive, consistent, and aligned with both recognized good practice guidance and people’s personal expectations.

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

At the time of our inspection, everyone using the service had the capacity to make their own decisions. However, the registered manager demonstrated a clear understanding of when Mental Capacity Assessments would be required, including how to accurately record the key individuals involved in the process. The Mental Capacity Act 2005 (MCA) ensures people are empowered to make their own decisions as far as possible, and that any best-interests decisions made for those lacking capacity are as least restrictive as possible. Staff were up to date with MCA training, and both people and their relatives confirmed that staff routinely sought consent before providing support.