Above & Beyond Care Ltd Also known as Above and Beyond Care 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 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.

People’s needs were assessed before they started to use the service, with the input of people and their relatives or their representatives, where appropriate. The assessments were used to form the care plans and tasks staff were to undertake to meet people’s needs. This was kept under review to ensure any changes were included in the care plan and staff made aware.

A person told us, “The assessment was done before I started, they came to my home talked about what I wanted and my care needs and keep regular checks in case anything changes.”

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.

Where people required support with preparing and/or eating food and drinking, this was identified in their care plans with guidance for staff in how to meet people’s needs.

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 registered manager told us how they worked in partnership with other professionals involved in people’s care. This was confirmed by a social care professional, “[Service] always responded positively and actioned any requests. They also provided feedback to me as requested.” Referrals to other professionals were made where required, with people’s consent.

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 registered manager told us when they had identified issues with people’s wellbeing, this was shared with people’s relatives, where appropriate and with people’s consent. Where support was required to access external professionals, this was provided. A person told us the registered manager had suggested they may wish to see their GP and supported them to make an appointment, which they appreciated.

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.

The management team told us about the systems in place to monitor the care and support people received. This included checking the electronic care system which showed when staff had supported people with the ‘tasks’ set out in the system, speaking with people using the service and spot checks on staff. Alerts were sent electronically to the management team when tasks had not been completed, or staff had not arrived for their visits. This supported the management team to take prompt action.

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

People’s care records showed staff were guided to ask for people’s consent prior to providing care and support. People confirmed staff asked for their consent, for example a person told us, “[Staff] always ask me for my consent and what I need, they never assume.”

The registered manager told us, “We have a signed Contract of Terms of Conditions from the client which is them agreeing to the care plan and to receiving our services.”