Diana’s Quality 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.

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 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.

People's needs were assessed comprehensively and were regularly reviewed. Care plans contained detailed information about people’s personal histories and what was important to them, including their faith and cultural preferences. This demonstrated that people’s backgrounds, values and choices were considered when care was planned and delivered.

Staff had electronic access to people’s care plans and up-to-date information about their health and care needs when planning and delivering support.

Staff told us they had access to the information needed to provide care in line with people’s assessed needs and preferences.

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.

Relatives told us they were involved in decisions about their family member’s care and support. This helped ensure care was planned and reviewed in line with people’s individual needs, preferences and choices. One relative said, “I am involved in my relative’s support. The manager works with not only my [Person] they also involve me too”.

Support plans contained person-centred information about people’s assessed needs, preferences and how they wished to be supported. People and those important to them were involved in developing and reviewing their care. This provided staff with clear guidance and supported consistent care that promoted people’s choice, control and independence.

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.We received feedback from relatives who told us staff worked well together and communicated effectively. This supported a coordinated approach to people’s care and support.

At the time of the inspection there were two staff member that worked at the service this included one care staff and the registered manager. Staff told us they maintained regular contact with each other this by telephone and through staff meetings. This enabled information about changes in people’s needs and preferences to be shared promptly and supported staff to provide care that reflected people’s individual 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.

People told us they had access to healthcare professionals and specialist support when needed. and were supported by staff if they needed to be.

The registered manager told us staff supported people to access health professionals and attend appointments when needed, including GP and hospital appointments. This helped people access appropriate healthcare advice and treatment in line with their individual needs.

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.

Staff monitored people’s health, wellbeing and progress towards agreed outcomes. They sought advice from health and social care professionals when required. Team meetings, supervision and care reviews were used to assess whether support remained effective and to identify improvements.

Care records reflected people’s assessed needs, preferences, routines and desired outcomes. They also identified the staff members responsible for supporting each person with specific tasks.

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

People’s ability to consent and how they showed consent was consistently and were documented. At the time of the inspection people were assessed to have capacity to make their own discissions.

Staff had completed Mental Capacity Act training and understood the principles of consent. Staff told us they sought people’s consent before providing care and explained what they were doing. Records included completed consent forms. This supported people to make informed choices and ensured care was provided with their consent.

The provider had policies in place to give staff the guidance and support they needed. At the time of our inspection, the service was in the process of updating its Mental Capacity policy to ensure it reflected the recent changes. The registered manager subsequently sent us a copy of the updated policy.