One World Care

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 Care Quality Commission 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 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 and their relatives told us they were involved in planning and reviewing their care and support. One person told us, "The staff are very professional, and they explain my care needs." People and relatives confirmed their needs had been discussed with them and that their views and preferences were reflected in the care they received.

The provider worked with people and, where appropriate, their relatives to assess needs and develop personalised care plans. Care records contained information about people's backgrounds, medical histories, preferences and support needs. This information was used to develop care plans that guided staff on how to provide safe and person-centred care.

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.

The provider used assessment tools to identify and manage people's needs and risks, and to develop care plans that reflected how those needs should be met. For example, assessments considered areas such as mobility, moving and handling, nutrition and hydration.

Records reflected people's assessed needs and provided staff with clear guidance on how to deliver care and support. Staff and the provider told us they worked in line with current good practice guidance when supporting people with their physical health and mobility needs. For example, how to support people with transfers from the bed to a chair and how to meet people’s dietary needs. The records we saw supported what we were told.

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 provider told us staff used the electronic care planning system to review previous visit notes and updates, helping to promote continuity of care. People and their relatives confirmed they received consistent support from staff who knew them well and understood their needs. One staff member told us, "We record any visits from other professionals and communicate this with the office. Everything is documented.”

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 and their relatives told us staff supported them to maintain their independence wherever possible. Staff understood the importance of promoting independence and encouraging people to do as much as they could for themselves. One staff member told us, "We always encourage people to remain as independent as possible and support them to do things for themselves where they can."

Staff demonstrated a good understanding of people's health needs and the support they required. Care records included information about people's health conditions and provided guidance for staff on how to monitor and respond to changes in their wellbeing.

The provider told us each person had information available within their home containing key contact details for relevant healthcare professionals, such as GP services, community nurses and other professionals involved in their care, as well as information about the provider and the services available. This meant people and staff could easily access the information they needed to seek advice or support when required.

Staff worked with healthcare professionals to help ensure people received appropriate care and support. Records reflected people's health needs and demonstrated that action was taken when concerns about a person's health or wellbeing were identified.

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 and their relatives spoke positively about the quality of care provided. One relative told us, "The staff are exceptional and provide an excellent standard of care. They are a godsend."

The provider told us people's care and support needs were reviewed regularly and sooner if their needs changed. Staff told us they were notified promptly when changes were made to people's care records through the electronic care planning system, which helped ensure care remained responsive to people's current needs.

These systems helped to ensure people's care remained under review and was updated to reflect changes in their needs and preferences.

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

People told us they were treated with dignity and respect and were supported to live their lives in the way they chose. One person told us, "They treat me with respect and dignity, and they always ask for my consent before providing care."

Staff demonstrated a good understanding of the importance of seeking consent and described how they involved people in decisions about their care and support. People said staff respected their choices and preferences and supported them to make decisions about their day-to-day lives.

Staff understood the importance of obtaining consent before providing care and support. One staff member told us, "I always ask for consent." Care records reflected people's wishes, preferences and choices, and staff worked in partnership with people to support them to make informed decisions about their care.