La Petite Concierge 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 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 management team completed individual assessments for each person who required support. This identified people’s health needs, routines for personal care, wellbeing and communication needs.

Outcomes for people to achieve were recorded in their assessments, this ensured staff were aware of what each person wished to achieve. People we spoke with told us they were involved in their care planning. People we spoke with told us reviews took place and they were included in these. We saw where people’s needs had changed, or if people had a deteriorating health need, care plans and assessments were updated.

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 we spoke with were involved in the planning of their care. People’s care plans had individual assessments to identify the level of support required. For example, assessments of mobility, diet and personal care. When there was a change in a person’s individual circumstances this was reviewed. Management and staff were responsive where people’s needs had changed, understanding the importance of having the correct information recorded.

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 had detailed assessments in place. These would be shared with others when people moved between services. People we spoke with told us they felt comfortable with staff or management speaking to healthcare professionals on their behalf if they were to struggle to explain what was needed. Staff told us they received communication of any changes to people’s needs. This allowed them to pass any changes efficiently to other appropriate partners.

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.

Some people we spoke with told us not all staff could cook and needed to be guided. Staff we spoke with told us they understood the importance of providing healthier meal options and to encourage these options to improve and maintain people’s health and wellbeing. People were encouraged to manage their own health needs and not everyone required support from staff. People we spoke with told us they felt staff would respond to any changing needs or concerns promptly.

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 provider ensured they incorporated outcomes for people that were positive and met both clinical expectations and expectations of people themselves. People we spoke with told us their care was regularly reviewed. Management teams had a process in place to follow where people’s needs had changed. This included quality checking that information was accurate and reflected people’s needs.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. The provider held signed copies of consents to care. People told us they were asked if they consented to the care they received.

Where necessary the provider had procedures in place to engage people with legal authority or responsibility to make decisions within the requirements of the Mental Capacity Act 2005. This included the duty to consult others such as carers, families and/or advocates, where appropriate. Where people legally represented people, this was captured in their care plans and checks were completed to ensure the correct process was followed and information was only shared with appropriate people.