Surecare Doncaster 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 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. The provider carried out initial care needs assessments with people to ascertain the support they required. The provider also considered people’s communication needs which included sight, hearing, speech, use of telephone, sign language, first language and native speaker or interpreter requirements. People were involved in their care plans and any reviews which took place. People's outcomes were discussed and recorded and when they had been met other outcomes were set. The management team kept staff well informed of any changes to people’s care and support. One staff member said, “People we care for are reviewed often and if I see any change I report to the office.” 

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. Care plan documentation included people’s dietary preferences, and nutritional needs. Regular monitoring was documented and any changes in appetite or fluid intake were promptly addressed in line with best practice.

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. The provider had a clear process which ensured members of the management team were available out of office hours to support for staff. The provider had handover records which were detailed and contained specific information staff would need to ensure people received a continuous service. All staff involved in people’s care and support knew the most up to date information to enable them to deliver support in line with people’s current needs. The provider worked in partnership with people and family members or appointed representatives to ensure they had access to professional services and support to maintain their health, well-being and independence. 

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. Staff were skilled at recognising changes in how people presented and were quick to act on them. Call logs showed staff liaised with professionals and worked with them to provide safe care. One staff member noticed changes in someone's skin and eyes and called 111 for advice, informing their relative of the action they had taken. There was also evidence of close working relationships with the district nursing team. Paramedics were called when someone's blood sugar was too low, and staff acted in line with the person’s care plan and gave sugary sweets to try to raise their blood sugar levels.

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they met both clinical expectations and the expectations of people themselves. People and their relatives were involved in routine reviews of their care and support. Care plans were amended to reflect current needs.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. People can only be deprived of their liberty to receive care and treatment with appropriate legal authority. In care homes/hospitals, this can be done through a procedure called the Deprivation of Liberty Safeguards (DoLS), which is part of the Mental Capacity Act 2005 (MCA). We checked whether the service was working within the principles of the MCA and how they managed DoLS within the service. We found that appropriate legal authorisations were in place as required, through the Court of Protection, to deprive a person of their liberty. The management team and staff were knowledgeable about the process and supported people in the least restrictive way.