Provision Care Ltd

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.

At our last assessment we rated this key question Requires Improvement. At this assessment the rating has changed to 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.

Plans of care demonstrated people were involved in the assessment, planning and reviews of their care. One person told us, “Although it is quite a while ago now, I do remember the manager and another staff member coming to my house and doing the assessment. I was asked lots of different things and they told me how they could provide the support I need before things started.”

People’s care plans showed a holistic approach was in place that considered all aspects of people’s lives and how care arrangements were compiled with people to fulfil these as much as practicably possible.

Staff we spoke confirmed people’s plans of care reflected their needs and wishes and they had ready access to them. They told us people’s care needs were stored electronically, and copies were kept securely at people’s homes.

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.

Nationally recognised assessment tools, in line with current legislation and current evidence based good practice and standards were in place. The provider sought people’s views and that of their relatives to ensure, where required, meals were provided in line with their needs and wishes and records were kept of people’s fluid and nutritional intake if needed.

Staff were dedicated in providing people with good quality of care. They understood people’s individual needs and wishes intrinsically. One person told us, “[Name] can shower and clean themselves in parts. We encourage them to do as much as they can for themselves. We are afforded enough time to spend with people to maintain their independence, so we don’t just do everything for them because it’s easier and quicker.”

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. One person told us, “I have multiple agencies involved in my care. I don’t have to keep repeating myself. The manager and staff record all my needs, and this is easily shared with other agencies such as CHC [Continuing Healthcare].”

The provider supported people to manage their health and wellbeing to maximise their independence, choice and control. There was a proactive approach to enabling people to remain independent and in their own homes and choosing how they lived their lives in line with best practice.

Staff supported people to live healthier lives and where possible, reduce their future needs for care and support. One staff member told us, “[Name] needs and abilities fluctuate quite a lot. We are constantly adapting the level of support we provide. We do this by continually assessing where their baseline is. That, together with continually communicating with them, supports and reduces the risk of them potentially needing residential care.” Another staff member said, “It can be basic things really that helps such as for one person even using cutlery can change day to day. We give [name] opportunity and time to try and use it themselves.”

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.

Plans of care were updated promptly when people’s needs changed. This meant staff had up to date and accurate information to support people effectively. The registered manager reviewed people’s care and monitored changes to ensure people had positive outcomes. For example, they were in regular contact with a health professional for one person’s specific health condition. Any guidance and support provided was implemented based on clinical advice to ensure the person’s condition was effectively monitored.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. This was confirmed by people we spoke with. One person said, “They [staff] always ask for my consent.

Staff understood the importance of gaining people’s consent. They told us they respected people’s rights to refuse whilst also encouraging people of the benefits to their welfare through accepting care and support.

One staff member said, “If people say no that is fine. We note it down in handover and encourage people rather than force anyone. If there is a safety concern for instance, if a person refuses medication, we escalate this to the manager.”

Staff were conscious of people’s ongoing refusal to accept care and its potential the impacts on a person this may have. One staff member told us, “If there is a safety concern for instance, like if a person refuses medication, we escalate this to the manager.”

Staff had access to the Mental Capacity Act 2005 (MCA) policy and had received appropriate training. This supported staff’s understanding of MCA principles.