Crestar Healthcare Ltd North East

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 71 (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 had systems in place to maximise the effectiveness of people’s care and treatment through reviews with people and their relatives. When people started receiving care managers held meetings with people and their relatives to ensure the care was person-centred and included their assessed needs. One person told us, “They came to see me, and we discussed the support I wanted; they assured me if it changed to give them a call and they would come back out.”

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. Some people had specific needs which needed appropriate support, such as moving and handling needs. Staff were trained in any new emerging conditions to ensure the effective support and current guidelines were followed to gain the best outcomes for people. One person told us, “I was fully involved in my care plan. I know what support I need. The carers have the skill to look after me. They are even getting training specific to the dressings on my legs from the District Nurse.”

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 saw evidence where people’s needs had changed, and new conditions were emerging, and the escalation of the staff to managers to gain additional support and smooth transitions between care services. Care plans were clear regarding the care needing to be provided and who provided it, so there would not be any confusion or gaps in support. Staff told us they always had access to their manager and were confident in raising any changes to people’s health and they would be acted upon.

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 were happy with the meals prepared for them by staff and for people who were unable to mobilise independently staff always left food and drink within reach. A relative told us, “[Family member] has a poor appetite. The carers prepare food and offer snacks and make a special effort to make it look nice, but they aren’t hungry, they have told me to contact the doctor, which I did.” People were supported with their specific oral health needs to maintain their oral hygiene.

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. Information in care plans was clear about what people wanted and there was an effective electronic care system to monitor care and support.

The provider always told people about their rights around consent and always respected their rights when delivering care and treatment, although the recording of consent needed to improve. During our inspection the provider acted quickly to rectify this. People created their care plan with the managers to ensure the care was what they wanted in the way they wanted it. People we spoke with said they had created their care plan, and it was what they wanted. Staff told us, “Before I do any support, I let them know what I am supposed to be doing, and if they are ok with me doing it. They give me their consent.”