Carerose Cares 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.

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 67 (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 did not always make sure people’s care and treatment were effective because they did not always full assess people’s needs.

Dependency assessment and care plans were completed but did not always reflect the care needs of the person. For example, one care plan we reviewed was for a person with a leg injury. The care plan did not detail exactly how the injury was sustained or which leg was injured. There was not enough detail to inform staff how to safely support with transfers and manual handling whilst injured. This means the person was at risk of further discomfort because an appropriate manual handling plan had not been provided for staff to follow.

The registered managers told us people were fully assessed before they started using the service and this was regularly reviewed with them and their relatives.

Relatives told us they were aware of their loved one’s care plans.

The provider planned and delivered people’s care and treatment with them, including what was important and mattered to them.
Staff had received training to meet people's needs such as food hygiene, manual handling and nutrition training.

At the time of our inspection, we did not see the service working with any other healthcare professionals however the registered manager told us they had worked with community nurses, GP’s and social workers when 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.

The registered manager said, “Staff work well together, they are a small team and most had been working here for years. The staff are excellent and if they see someone is missing from their rota they always report promptly.”

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.

Whilst more detail was needed in care plans around areas such as manual handling, there was a strong ethos that staff must respect people’s decisions, lifestyle choices and always promote independence.

Examples from people’s care plans included, “Maintain [person’s] dignity and independence by allowing sufficient time to complete tasks.” And “Encourage independence while ensuring safety."

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 care plans we reviewed were based on a re-ablement approach, focusing on restoring confidence and independence while avoiding unnecessary dependence on staff.

There were risk assessments to prevent loss of independence and prevent staff from completing tasks people can manage independently.

People’s care plans included planned outcomes and how these can be achieved. For example, mobilising safely in the persons home, maintaining good personal hygiene and maintaining a consistent daily routine. There was a strong ethos on improving independence.

The registered manager told us people’s care plans are reviewed with them, and this is when outcomes are measured for progress. However, there was no documentation to evidence the positive impact their re-ablement approach was having on the individual.

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

During our assessment we could see from care documents that people and those important to them, were included in their care planning. The registered manager showed us where people gave their consent to their care planning.

The registered manager told us people being supported at the time of this assessment, all had capacity. We were assured the registered manager would complete mental capacity assessments if appropriate to do so and would work in partnership with key people involved in decision making.