Train2Care Academy

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• 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 good. At this assessment the rating has remained 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.

Care plans included information about people’s physical, sensory and mental health needs. People and their relatives told us they were involved in the planning and review of their care plans and risk assessments. One relative told us, “We collaborate to deliver the best care to [family member].

People and their relatives told us they were involved in the creation and review of their care plans. This was done with the registered manager, or with senior care staff. The registered manager ensured care plans were reviewed every six months, or sooner if care needs changed. People told us they had copies of their care plans in their 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.

Care plans and risk assessments documented people’s support requirements in relation to nutrition and hydration needs. There was sufficient information to inform staff how to support people safely.People with diabetes had risk assessments in place, which documented signs staff should look out for if people’s conditions required emergency treatment.

At the time of the assessment, people were being fully supported with their nutritional and medical needs by relatives. However, staff had received the relevant training and had enough information to support people with these needs if it was required.

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.

Staff told us they felt communication was effective between colleagues and the management team. One member of staff told us, “My manager checks in regularly, provides support and feedback when needed.”

One staff member said, “Staff share updates daily during handovers and team meetings. Any changes in health are recorded, and the team are immediately notified. We [are] in contact with GP’s and other healthcare workers and social workers [to] ensure the right specialist is called for any urgent issues.”

A staff group chat was in place to enable staff to share information, raise concerns, and exchange ideas to support the delivery of care. The registered manager used this platform to provide regular updates and important information between formal staff meetings, ensuring staff remained informed.

The provider supported people to manage their health and wellbeing to maximise their independence, choice and control.

Care plans documented peoples care and support needs in relation to their diet and lifestyle. While relatives were responsible for providing this support, staff were fully informed on the expectations of care.People told us they were involved in the review of their care and well-being support needs. They felt staff had a good knowledge of their health care needs and were sufficiently trained to maintain health.

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.

Care plans and risk assessments were reviewed once every 6 months, or as required if changes to care needs were required. Staff told us, “We have care plans, use body maps and food and fluid charts. We report changings that are visibly concerning as we know [people] we support”and “I report concerns to ensure people receive timely advice, which may lead to [medical] appointments or treatment from the health care service.”

Staff told us they ensured daily notes were kept up to date. They would check notes before the beginning of each shift to be updated before they began a new care visit.

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

Staff had received training in the Mental Capacity Act 2005 and understood how to ensure people were able to consent to the care and treatment they received. A member of staff said, “People have the right to make their own decisions with support needed. If they cannot decide, decisions must be made in their best interest using the least restrictive option.”

People and their relatives told us staff respected their rights around consent. A relative said, “Dignity and respect is delivered every time that support is offered.”

A staff member, said, “[I] explain the support being provided and give [people] the opportunity to ask questions or make choices. [I] ask for permission before providing personal care, and respect [people’s] decision, if they refuse.” Another staff member said, “We explain choices clearly, respect decisions and we ask for consent every day before any task and respect the person’s wishes.”