Prime Way Care 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 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. The provider carried out comprehensive pre assessment processes prior to care starting. This included a visit to people and their relatives to carry out assessments of their needs. The assessments reflected individual preferences, values, and desired outcomes. They considered people’s physical health needs and their emotional wellbeing, routines, lifestyle choices, and communication preferences. The information gathered through these assessments was used to develop detailed and personalised care plans that accurately reflected each person's needs and wishes.

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. People were supported to maintain a healthy lifestyle and access appropriate services to promote their overall wellbeing. This included assistance with daily living tasks, meal preparation, and support to maintain their emotional wellbeing.

People’s care plans contained clear and personalised guidance for staff on how to meet people’s nutritional and hydration needs safely and effectively. Where individuals were at risk of choking or swallowing difficulties, specific information was available to guide staff in providing appropriate food and drink. For example, some care records included visual guides identifying ‘red’ and ‘green’ foods, helping staff clearly understand which foods were safe to offer and ensuring people received consistent and safe support in line with their assessed needs.

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 described a positive and supportive team culture and told us they worked collaboratively to achieve the best possible outcomes for people. They spoke positively about teamwork, communication, and their shared commitment to delivering high-quality, person-centred care. Staff worked in partnership with a range of health and social care professionals to ensure people received consistent and coordinated support.

The provider had systems in place to support the sharing of important information with healthcare services. Each person had a section within their care plan, about their medical history. This contained key information about their health, care needs, and preferences. This information could be shared promptly with hospital staff when emergency or planned treatment was required, helping to ensure continuity of care and professionals had access to relevant information to support safe and effective decision-making.

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. Staff supported people to maintain and improve their health and wellbeing wherever possible. People's needs were regularly reviewed to ensure care remained appropriate and responsive to any changes in their circumstances. Staff demonstrated a good awareness of people's usual health and wellbeing and were able to recognise when individuals were unwell or when their needs had changed.

People's support plans contained detailed information about their medical conditions, including how these affected their day-to-day lives and the support required to manage them effectively. This information helped staff to provide personalised care, monitor any changes in people's health, and seek appropriate support from healthcare professionals when needed. Regular reviews and effective communication between staff helped to ensure people received timely and appropriate support to promote positive health outcomes.

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured outcomes were positive and consistent, and they met both clinical expectations and the expectations of people themselves. People’s needs and the delivery of their care were consistently monitored by both staff and the provider to ensure they continued to receive safe, effective, and appropriate support. Regular reviews of care were undertaken to evaluate whether people were satisfied with the service and to check their assessed needs and desired outcomes were being met. These reviews involved discussions with people and, where appropriate, their relatives. The provider used information gathered through monitoring and reviews to make any necessary adjustments to care packages. For example, visit times were amended, and the number of allocated support hours was increased or reduced in response to changes in people’s needs, preferences, or circumstances. This helped to ensure care remained responsive, personalised, and reflective of people’s current requirements.

The provider was part of a commissioned reablement bridging service, supporting people to return home safely following discharge from hospital. The service worked flexibly to provide short-term support while longer-term care arrangements were identified and put in place. The provider told us this approach had been successful in facilitating timely hospital discharges and reducing delays in people receiving the support they needed. People were supported until alternative care providers were sourced where ongoing care was required. The provider also shared examples of positive outcomes, including people who had responded well to reablement support and regained independence.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. Staff demonstrated a good understanding of the importance of seeking consent and involving people in decisions about their care and day-to-day lives. People were supported to make choices and maintain control over matters that affected them. Where people lacked the capacity to make specific decisions, appropriate mental capacity assessments had been completed. Decisions about care and treatmentin people’s best interestswere madein line with the principlesof the Mental Capacity Act 2005.These were clearly documented and restrictions were only applied where necessary.This helped to ensure decisions were made in line with relevant legislation and in the person’s best interests.

People confirmed they were actively involved in decisions about their care and were able to make choices about how their support was delivered. They told us staff listened to their views and respected their preferences. Staff spoke confidently about the importance of obtaining consent and promoting choice. Records showed staff had completed Mental Capacity Act training. Staff demonstrated a good understanding of their responsibilities to ensure people’s rights, wishes, and decisions were respected