Riseup Healthcare 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 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 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; people told us that. For example, people told us the service spent time with them at the start of the service discussing their needs and what they wanted from the service. They told us their needs were reviewed regularly and any changes made as required. One relative said of the agreed care plan, “[The service] has done everything they promised.” However, care plans did not consistently reflect the person-centred care staff were delivering and this requires improvement.

The provider planned and delivered people’s care and treatment with them, including what was important and mattered to them. Whilst people told us they received care that was person-centred, effective, and included what was important to them, records did not always show care was in line with legislation or had been consistently assessed using nationally recognised assessment tools. For example, for one person who the service had assessed as being at risk of malnutrition and dehydration, no nationally recognised assessment tools had been used to robustly assess these identified risks. However, evidence showed that staff had the skills and abilities to manage these needs in practice; people told us this and staff demonstrated that.

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. Whilst care records required improvement, evidence showed staff worked well with each other, and professionals, to ensure people received the care they required. One person who used the service said of the staff, “They all share information with each other so they can pick up where the last one left off.” Whilst a professional told us, “Overall, my experience of working with the service has been very positive. Communication from both the management team and carers has always been excellent. They have consistently been responsive, clear, and proactive in their approach, which has supported effective multi-agency working.”

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. We heard examples of where the service had supported people to sustain, and improve, both their physical and mental health. This included supporting people with exercise or attending medical appointments. One relative said, “[Family member] is very safe (receiving the service), staff make them feel very confident. [Family member’s] confidence has really built. Staff are so encouraging, lovely people, warm, polite, and they go out of their way to help. [Family member] looks forward to seeing the staff.”

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. People consistently told us they were happy with the service they received and that it met their needs and expectations, sometimes exceeding them. One person who used the service said, “Staff are really amazing… they’ve helped me to get some confidence back and I don’t worry as much now.” Whilst not all records demonstrated regular monitoring, people’s feedback showed us the service did monitor people’s care and treatment on a regular basis and were committed to ensuring people’s needs and wishes were met.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. Records confirmed that. People also told us staff sought their consent at the point of care delivery. One person who used the service said, “Although we know each other quite well now, staff never presume I will agree to something, so they always ask… staff work with me.”