Nurtrio

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 requires improvement. At this assessment the rating has changed to 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.

Staff assessed people’s needs before they started using the service. Staff planned care according to people’s individual wishes and needs and involved both the people receiving care and their relatives in the assessment process. Staff kept assessments up to date and reviewed them regularly, helping staff understand and respond to people’s current needs effectively.

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.

Care plans reflected people’s assessed needs and included information based on clinical recommendations. The provider delivered regular training to ensure staff stayed up to date with best practice guidance.

People and relatives described staff as reliable and knowledgeable about their needs. Regular reviews of care plans ensured care remained current and responsive to any changes.

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 effective teamwork, with regular communication and access to guidance when needed.

Staff maintained records of daily interactions, detailing what had taken place at each visit to ensure continuity of care. The provider used systems to support effective communication, including the timely sharing of any changes to people’s needs.

Where required the service worked in partnership with healthcare professionals to meet people’s needs.

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’s care plans contained detailed information about how staff should support people to retain their independence, including what they could do for themselves, and the level of prompting or assistance required. One person told us their health would typically decline over the winter, often resulting in hospital admissions. However, since the provider began supporting them, their health had not declined in this way. They explained staff encouraged them to maintain their personal hygiene, get up and dressed, and take their medication, which had helped them develop and maintain a positive routine.

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 routinely monitored people’s care and carried out regular reviews to ensure care remained appropriate and responsive.

The support people received led to consistently positive outcomes and met their expectations. People told us the support had a positive impact on their lives.

The provider acted on feedback they received to improve service delivery and promote positive outcomes for people.

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

Staff completed Mental Capacity Act (MCA) training and understood the principles of consent.

People told us the staff who supported them respected their rights and sought their consent before providing care.