AMG Nursing and Care Services - 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

Safe – this means we looked for evidence that people were protected from abuse and avoidable harm. At our last assessment we rated this key question good. At this assessment the rating has remained good. This meant people were safe and protected from avoidable harm.

This service scored 71 (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 and relatives, we spoke with confirmed staff knew them well and how to support them. One person told us, “They [Staff] know me and know how to support me, the regular staff are excellent.” Another person told us, “The staff know my needs well, I have different staff, some are quite regular and some are new, but they all deliver the same care they are all very good.”

Staff confirmed they knew how to support people and were provided with required information to meet their needs. One staff member told us, “We have access to all the information we require to meet people’s needs, if people have a physiotherapy assessment or occupational therapy assessment, for example, this is stored within the [electronic application] which we can access and review.”

People’s care records were person centred and detailed their likes, dislikes and preferences. We reviewed clear records which informed staff of how to meet people’s needs and their input was demonstrated throughout. This ensured the provider was following the principles of right support, right care, right culture. For example, 1 person’s record detailed their specific responses to pain, information of how they reacted was recorded along with how often this happens and how staff should manage this and signs to look out for.

The provider assessed people prior to supporting them, and made amendments as required throughout their care with external professional input.

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.

The provider did not always clearly record the monitoring of people’s care to ensure it was continuously improved. People’s outcomes were overall positive and consistent, and they met both clinical expectations and the expectations of people themselves.

We found, whilst staff monitored and reported any concerns with people’s needs and staff were recording when specific tasks had been completed during the visit, they were not always providing enough detail in people’s daily notes to ensure clear record keeping of monitoring was in place. We raised this with the provider, who confirmed they were aware and had planned further training with staff around required recording.

One relative told us, not all staff prompted or encouraged the exercises as recommended by the external professionals, although they named 2 staff members who supported their loved one as required and felt this made an improvement to the person’s mobility, this was not consistent across all staff.

Staff we spoke with, confirmed they worked with external professionals to monitor and improve people’s outcomes. One staff member told us, “We support people who are coming out of hospital with limited mobility, we work with the occupational therapists who provide exercises, which we follow with the person, it makes such a massive difference, seeing them regain their mobility.”

The provider kept a record of people’s improvement from when they started receiving support from the service to when their pathway ended. We reviewed a graph which showed a high percentage of improvement was achieved in people’s outcomes.

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