Share the Care Limited Office

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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 changed to Requires Improvement. This meant the effectiveness of people’s care, treatment and support did not always achieve good outcomes or was inconsistent. The service was in breach of legal regulation in relation to gaining people’s consent. People’s capacity was not assessed prior to delivering care and treatment. We found that people’s needs were not robustly assessed when they started to use the service, and when their needs changed. Care plans and risk assessments were not updated or reviewed to inform staff of the person’s current presentation.

This service scored 58 (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 make sure people’s care and treatment was effective because they did not check and discuss people’s health, care, wellbeing and communication needs with them. The provider told us that they discussed people’s needs with their next of kin, despite people having capacity. This means people were not involved in decisions or discussions about their health and wellbeing. People’s needs were not re-assessed when their needs changed, or following a fall for example. Known risks to people had not been updated within their care plans, for example, staff were concerned about one person being unsafe using the kettle, however this was not documented within their care plan to inform staff. One person’s daily notes showed they were regularly found ‘soaked’ in urine, however there was no information to inform what action staff took to consult healthcare professionals about this.

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 tell people about their rights around consent or respect these when delivering care and treatment. The provider told us they had not assessed anyone’s capacity prior to delivering care to people. The provider told us this was an ‘oversight.’ Although staff spoke with us confidently about assessing capacity, and seeking consent, we found that in practice this did not always occur. One person’s personal life was shared with their next of kin without any consideration if the person consented to this. Staff told us that they spoke with one relative about the reduction of mobility with their next of kin, when the person had capacity and should have been involved in the discussion. One person’s care plan directed staff to remove any alcohol from their house, however the person had not been consulted on this action.