Desire Care - Burton

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 changed to requires improvement. This meant the effectiveness of people’s care, treatment and support did not always achieve good outcomes or was inconsistent.

This service scored 62 (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 did not always make sure people’s care was effective, as people’s records were not always up to date and reflective of their current needs.

People’s care records were person centred and detailed their likes, dislikes and preferences; however, they did not always contain up to date information following their initial assessment, external professional reviews or changes to their needs. Records containing dates for reviews had also been missed.

The provider was not aware of supporting people with a learning disability or autistic people. Whilst they are registered to support this group of people, the provider told us at the time of the inspection they were not supporting people with this need. When reviewing records, however, we found the provider was supporting people with a learning disability or autistic people. This meant we could not be assured people’s needs were effectively assessed or supported in line with the right support, right care, right culture guidance.

We found people’s records did not clearly document where monitoring was in place for an identified need. Staff we spoke with, however confirmed they were informed of any updates or changes to people’s needs and took action to monitor as and when required.

People and relatives, we spoke with also confirmed staff knew their needs and how to support them. One person told us, “They [Staff] would raise any concerns, the carer has raised a rash I have, we are monitoring it, and they will call the GP if it is still there tomorrow.”

We did not look at Delivering evidence-based care and treatment during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at How staff, teams and services work together during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at Supporting people to live healthier lives during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at Monitoring and improving outcomes during this assessment. The score for this quality statement is based on the previous rating for Effective.

The provider did not always clearly record decisions around people’s consent when delivering care and treatment.

We found for 1 person where their care records detailed their spouse had Lasting Power of Attorney (LPA) for their health and finances, however, their records only contained a copy of the LPA for their finances. There also was no best interest decision or record of consent for this person.

People’s daily records did not clearly contain where staff recorded information relating to their consent. One person’s record contained their local authority care plan which informed staff to offer them 2 choices with clothes and meals, this was not clearly recorded in their care plan or within their daily records to show their input into their care.

People and relatives, we spoke with, however, overall confirmed staff asked for their consent before delivering care. One person told us, “They ask for my consent, they help me shower and I will do my bit that I can do, they will wait for me then I will turn to the carer and ask for their help when I need it.” Another person told us, “Sometimes they [Staff] ask for my consent, they don’t always tell me. I would say they always ask when washing me though before they do anything.”