Nationwide Care Services Ltd (Dudley)

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 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.

Care plans and risk assessments contained relevant information about people’s health and safety needs to enable them to receive care or treatment which provided good outcomes. For example, where records identified people had physical health and safety needs, people had care plans and assessments which provided guidance to staff on how these needs should be met.

People and relatives were involved in the care planning process. People and relatives told us their care was reviewed with them, and staff demonstrated an awareness of people’s needs and how these should be met.

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.

The provider demonstrated an awareness of ‘Right support, right care and right culture’ guidance. Information contained within people’s care plans and risk assessments was underpinned by these principles, such as supporting people to exercise choice and control in their lives.

The provider used evidence-based assessment tools to identify health risks. For example, they used recognised assessment tools for people at risk of damage to their skin.

Staff demonstrated an understanding of how assessment tools were used to manage risks to people’s health and safety, such as those with nutritional needs.

The provider worked well across teams and services to support people.

Leaders and staff worked collaboratively and with external professionals, including health and social care teams, to meet people’s needs. This helped ensure people received the right support at the right time.

People and relatives told us staff worked well together and with other services, which supported positive outcomes. One relative told us, “Staff support my [relative] in coordination with district nurses.”

Safety events not consistently discussed and reviewed at staff meetings, which meant opportunities for staff and leaders to communicate and learn were sometimes missed.

The provider supported people to manage their health and wellbeing to maximise their independence, choice and control.

People’s care records contained information to ensure people could be clearly and consistently supported to positively manage their current health needs.

People told us the support staff provided people enabled them to have control over how they wanted their health needs to be met.

The provider monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent.

The provider reviewed people’s care plans and risk assessments. Senior staff visited people’s homes to observe staff practice and assess home environments.

Leaders also sought the views of relatives about their relatives’ care via satisfaction surveys.

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

The service applied the Mental Capacity Act 2005 (MCA) when supporting people. Decision-specific mental capacity assessments were carried out for people in all areas of their care, and these were reviewed on a regular basis. People told us staff respected their wishes regarding how their care was provided, and relatives told us staff provided care based on people’s consent.

People and relatives told us people’s consent was sought and respected when they were provided care. One person said, “They ask me what I want them to do and how I want things to be done.”

Training records showed staff completed MCA training. Staff displayed a good awareness of the MCA and how they applied this to people they supported.