Cinox Healthcare – Shaftesbury Office

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 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’s care and support needs were assessed before they started to use the service. Care plans were detailed and referred to relevant areas dependent upon people’s current care and support needs. Care records also included details of other health and social care professionals involved with people’s continuing care.
Staff had access to information about people’s needs, through the providers electronic care planning system. Reviews of people’s care and support needs were completed regularly with people and their relatives if appropriate.
 

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’s care plans were developed holistically and included information and guidance from other professionals. Best practice guidance in relation to people’s specific support needs was understood and followed by staff. Staff recognised and responded promptly and adequately to people’s changing needs.

The service used recognised assessment tools to identify people’s needs and ensured appropriate support was in place for nutrition and hydration. Where required, staff worked with health and social care professionals, and care plans were updated accordingly. These plans detailed individual preferences, specific dietary requirements, and the level of support needed to reduce risks such as dehydration and malnutrition. Systems were also in place to monitor food and fluid intake, weight and associated risks.
Staff described how they monitored food and fluid intake to manage specific risks to people’s wellbeing. One staff member said, ‘I encourage my client to eat and drink, make sure their jug is refilled at each visit, ask about their appetite, and check they have snacks available.'
 

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 service worked with external professionals to ensure people’s needs were met and information was shared to ensure continuity of care. The provider shared people’s care documentation with other professionals when needed and ensured any changes were communicated to staff. This meant people’s care was effectively coordinated, to ensure they received timely and consistent support and treatment.
Management held regular meetings with staff to discuss people using the service, review care-related matters, and monitor any emerging risks or themes. Staff told us there was strong internal communication. One staff member told us, “There is proper communication and teamwork among staff and the management.”
 

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 were supported with referrals to healthcare professionals when required. Care plans contained information about people’s health and their wishes in the event emergency care was required.
Relatives told us people were encouraged to be as independent as possible and their wishes and choices were respected. A relative said, “They always encourage [person], anything [person] wants to do, as much as they can do it.”
 

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.

Staff monitored people’s health daily and knew how to escalate concerns if people’s condition changed. One staff member told us, ‘When we notice a sore on the skin, we can help the client call the GP, or nurses if need be’.
Regular reviews were undertaken to ensure the focus was always on meeting people’s changing needs. Care notes were regularly reviewed to ensure people were receiving their support as per care plans and to monitor people’s well-being and make referrals on to healthcare professionals should this be necessary.
 

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

People were supported to consent to their care. Signed consent forms had been utilised for people to agree to the provision of care in line with their assessed needs.

Records showed that when a person might lack capacity to make specific decisions, assessments were carried out in line with legislation. Best-interest decisions involved the person, their representatives, and relevant professionals.

Staff had received training regarding the Mental Capacity Act 2005 (MCA) and were knowledgeable about consent and worked within the principles of the MCA. One staff member told us, ‘If my client does not have capacity, I still ask for their consent before I do anything for them and I still respect their wishes. I will always follow their care plan to see what I have to do.’ Another staff member said, ‘Irrespective of their capacity l still ensure that l support them to make informed decisions, by using any form of communication verbal or non verbal approach, l will ensure that the communication approach will work for the persons best interests.’