Sinai Care Solutions Limited

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 requires improvement. At this assessment the rating has changed to 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.

The provider did not always make sure people’s care and treatment were effective because they did not always check and discuss people’s health, care, wellbeing and communication needs with them. One person’s health need relating to eating and drinking had not been effectively assessed by the provider as their care plans contained conflicting information about this need. This meant this person was at risk of not having their health care needs consistently met. However, we found other care plans did contain evidence to show other needs had been appropriately assessed. The registered manager told us they assessed people’s needs based on their individual requirements. We saw care plans were regularly updated, and staff had knowledge of people’s needs.

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 records showed that a range of evidence-based assessments were used, including tools to assess mobility, skin care, eating and drinking and moving and handling needs. Where people were at risk of falls, falls risk assessments were in place.

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 told us they had systems in place to ensure people received coordinated and joined up care. There was a handover process in place where important information and changes to people’s care needs could be shared with staff. Staff had engaged with a range of different health professionals to ensure people received support to meet their needs. Partners confirmed the provider and staff supported people effectively and worked with other agencies as required. The service could also communicate with staff via the electronic care planning system, which meant updates and key messages could be shared in real time.

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. The service carried out assessments on people’s care and health to ensure they could be supported to live healthier lives. The registered manager told us people were supported to go out in the community for walks or to the local shops and that independence was promoted. In addition, staff said they would raise any concerns with management if people’s health changed.

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’s care plans reflected their care needs and staff were aware of these and how to support people.Staff confirmed they shared information with people’s relatives and worked alongside other professionals. Staff monitored people's health and welfare and reported any concerns to the management team. Where needed, referrals to health care professionals were completed and this was recorded on people’s care plans. For example, we saw where skin concerns were identified, the staff contacted district nurses and completed body maps. The registered manager told us and records confirmed a person did not have a good experience with a previous care provider and since using Sinai Care Solutions the person was happy with the support they received and wished to extend their package of care.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. Systems were in place to obtain consent from people to provide care and support. A mental capacity assessment policy was in place and staff had been trained on the Mental Capacity Act 2005 (MCA). Mental capacity assessments had been completed to check if people had capacity to make certain decisions. Where people did not have capacity to make decisions, best interest decisions were made with family members or professionals.