Senacare Ltd

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

People’s needs were assessed and planned for. People and their relatives where appropriate had been involved in the care planning process. A care needs assessment had been carried out before people received care from the service.

Assessments were used to help create care plans which provided information about people’s care and support needs. However, we found that care plans lacked clear information about people’s health needs which could mean that they did not receive appropriate care. We raised this with the registered manager who confirmed that they would review these and ensure such information was clearly documented in people’s care records.

People’s relatives told us they thought people’s needs were met and their choices were respected.

The provider did not always plan and deliver people’s care and treatment with them, including what was important and mattered to them.

People’s care records did not always contain sufficient detail to guide staff on how to provide best practice care. Risk assessments did not always provide staff with clear information regarding people’s particular healthcare needs. This placed people and staff at potential risk of harm.

The provider offered training and guidance for staff to help make sure they had the skills and knowledge needed to care for people. Staff told us training was helpful and equipped them for their role. A staff member told us, “Training was very helpful and it really helped build my knowledge.”

Overall people were satisfied with the way they received care and support from care staff. They commented positively on the competence of care staff. A relative said, “Even the new [care staff] know what they’re doing – even dealing with stoma care, colostomy bag and so on. No infections, no blockages. They really know what they’re doing.”

The provider worked well across teams and services to support people. Professionals were involved in the people’s health, care and support.

People were supported to live a healthy life, and the registered manager and staff understood the importance of sharing accurate information in a timely manner. Staff told us communication within the service was effective and various systems were in place for the staff team to share information in a timely way. Regular meetings were held for staff and was an opportunity for staff to share information about the running of the service and people’s individual needs.

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.

A system was in place to help monitor people’s health and well-being. Staff recorded their visits on electronic daily notes. These recorded the care people received. Management used these notes to help monitor people’s progress.

People received support from staff that helped promote and improve their physical and mental health. This was also confirmed by relatives we spoke with. A relative said, “We’ve all seen a real improvement in [family member’s] well-being. [They] used to get very, very stressed if anything altered. Now, [they] are very rarely anxious.” Another relative said, “The carers are great. They encourage [family member] to do what they can for themselves – cleaning their own teeth is regular event now. Some of their carers are just wonderful. [My family member] chats with [care staff], they laugh and joke. It’s lovely to hear.”

Care plans detailed how people wanted to be supported to achieve their goals and outcomes. Daily notes were completed by staff. These enabled staff to monitor people and help staff respond to people’s changing needs promptly to help promote positive outcomes.

The registered manager audited and checked records and liaised with staff to ensure appropriate action was taken when monitoring and responding to people’s needs.

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

People told us that staff always asked for their consent before delivering support with care tasks. They told us that staff were respectful of their choices.

Staff had completed MCA training. Staff told us how they always sought people’s consent before each individual care task and the actions they would take if a person lacked the capacity to make decisions about their care.

An appropriate Mental Capacity Act 2005(MCA) policy was in place.