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 requires improvement. At this assessment the rating has improved to good.

This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 67 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

There was a risk of people’s care and treatment being ineffective because the provider did not always ensure people’s plans of care were up to date and accurate.

Some care plans lacked enough detail about some people’s health conditions. For example, 1 person had a skin condition, however there was no detail for staff about the condition, what signs and symptoms staff should be aware of to support the person in managing this effectively. The provider acknowledged this and added relevant information to the person’s care plans following our feedback.

Although some improvements were needed to the records, people and relatives confirmed they had been involved in their care. One relative told us, “An assessment was done by [staff member] and we were able to discuss what we felt would be best for [person].” People also felt staff knew their needs and how to support them. One person said, “The carers deliver a very good service and meet all my needs.”

Staff commented they knew people from the documentation available. A staff member told us, “I learn about the people I support through their care plans, risk assessments, and initial handovers when I start supporting them. This gives me a clear understanding of their assessed needs, preferences, and routines.”

The provider planned and delivered people’s care and treatment with them, including what was important and mattered to them.

Advice from health and social care professionals was included in people’s care plans and risk assessments for staff to follow. People’s dietary needs were clearly identified, and staff supported them to meet these in line with their plans.

People told us they were involved in their care planning and reviews, and their preferences were clearly reflected and consistently followed. One person commented, “I specifically asked for female carers, and the company has respected my wishes.”

Staff told us they understood and respected people’s preferences. A staff member commented, “I follow each person’s preferences and respect their background.”

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.

We saw the provider worked in collaboration with people, staff and other services to ensure people’s support was seamless.

People told us of their satisfaction with staff summoning additional support when this has been necessary. One person told us, “Before [person] came out of hospital, the care coordinator and social worker came out to set up what help we needed.”

Staff explained how they worked with people and other health professionals to support them in getting the support they needed. One staff member commented, “We work collaboratively with GPs, district nurses, social workers, and mental health teams. I contact them through the office or during visits when required.

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 to be as independent as possible with their choices respected. People and relatives told us staff encouraged people’s independence and promoted choices.

Records demonstrated people had input from a range of healthcare professionals to help promote their health and wellbeing.

The provider routinely monitored people’s care needs to support continuous improvement. Outcomes were generally positive and met clinical and individual expectations; however, records were not always updated promptly to reflect changes in people’s needs.

People’s care had not been impacted, and staff were consistent and knew people well.

People and relatives we spoke with confirmed they had regular reviews of their care. One person said, “The owner or care coordinator visit every 6 months to review the plan and discuss the care that I want.”

Staff monitored people’s needs and raised concerns as and when required. A staff member explained, “I record changes in the daily notes and report concerns to seniors or the office. I monitor things like weight, mood, and health changes and general wellbeing of the person.”

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

People and relatives told us people were supported in a person-centred way, with staff promoting people’s choice and control and seeking consent before delivering care, demonstrating staff were working in line with the principles of the Mental Capacity Act. One person told us, “It’s down to me what care I have; I decide if I have a shower, I choose what I eat every mealtime."

Staff understood their responsibilities under the Mental Capacity Act (2005) and told us how they respected people’s choices. A staff member commented, “I consistently offer individuals choices and provide clear explanations to support informed decision‑making.” Another staff member said, “I treat individuals with dignity and respect by listening to them, involving them in decisions and respecting their choice.”

People’s ability to make decisions was considered and where appropriate, relevant Mental Capacity Act (MCA) assessments had been completed and reflected in their care documentation.