Your Quality Care Services Limited

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• 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.

People’s needs were assessed prior to them receiving support. This included information about their background, likes and interests. Staff told us they had enough information within people’s care plans to understand their needs before supporting them.

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 regularly reviewed. The manager told us they maintained up to date knowledge through training refreshers, updated policies and guidance. This was reflected in the provider’s policies. People told us the care they received was in line with their needs and wishes.

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 told us they worked well as a team. This included regular staff team meetings. The service worked well with other professionals, such as the GP and the district nurse team. One professional told us they had no concerns with the service.

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 promoted healthy lives. For example, some care plans stated people needed to be supported with leg exercises. Another person’s care plan stated they needed to limit their sugar intake due to a health condition.

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 manager told us they encouraged people to set goals within their care plans to promote improvement in outcomes for people. The manager commented, “We have previously supported clients who have stopped receiving our service because they have improved to the point where they no longer need care support. Examples include post hospital support.” We saw evidence of people’s goals recorded in care plans, such as increased independence and the goal to stay living at their home. One relative commented how their family member had improved since receiving support from the service.

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

People told us staff sought their consent in relation to their care and treatment. Care plans also contained evidence that consent had been discussed and documented. Staff had completed training in the Mental Capacity Act 2005 and had an understanding of this legislation. The manager told us, “We include the client in all tasks. We don’t presume they don’t have capacity to their own care needs.”