Aspire Care Services 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.This is the first inspection for this service. This key question has been rated 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 provide evidence to support they always discussed all aspects of people’s health, care and wellbeing with them.

While people had care plans in place, information about people’s personal histories were not always included. We raised this point with the registered manager who acknowledged the importance of staff having a good background knowledge of people they are supporting. We were told amendments would be made to ensure the question about personal histories would be included in the initial assessment of peoples support needs going forward.

We saw a care plan which contained information that had not been updated to reflect the improvement of a person’s health needs. While we saw no evidence to support this caused any harm to people, it was raised with the management team, who took steps to ensure the information in the plan was updated and therefore accurate.

Despite this, people’s care plans and risk assessments contained good information about their care and support needs. Mental health, behaviour, nutrition and hydration needs were documented in detail. This ensured staff were well informed of how to support people.

People were involved in the creation of their care plans and were involved in the review and revision of care plans and risk assessments as required. People had copies of their care plans and risk assessments.

People had regular key working assessments, this ensured their needs were part of an ongoing discussion, and adjustments could be made without undue delay.

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 plans and risk assessments documented people’s support requirements in relation to nutrition and hydration needs. There was sufficient information to inform staff how to support people safely.

Staff told us they were aware of how to deliver appropriate care and treatment to people. One member of staff said, “We get to know each person and what help they need. We look at their care plans, listen to [people], and make sure their support is right for them.”

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.

Staff told us the service worked with multiple agencies, and health professionals to ensure people received the care and support they required. Daily notes were detailed, and ensured staff would be fully informed during handovers on how people’s day had been and what important events may have taken place.

The manager told us staff were given sufficient notice of their shifts, calendars are collaborated with people’s schedules, so staff knew beforehand if they needed to support people to attend appointments or day centres.

People also had access to staff rota’s so they knew who would be supporting them ahead of time. The manager told us some people would plan their activity dependant on who was on duty to support them.

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.

Care plans documented people’s care and support needs in relation to their diet and lifestyle requirements. People who required additional support to maintain a healthy diet had their food intake recorded at intervals throughout the day. Refusals of food were also documented, so this could be reviewed and discussed with people to try and find a way forwards. People were able to attend exercise classes as part of their weekly schedule if they wished to do so.

We reviewed risk assessments which clearly identified people’s health and wellbeing needs.

People also had personalised health and social goals were in place. Staff discussed peoples progress with them, to ensure gaps in progress were addressed. Staff supported people to promote and achieve positive outcomes with her health goals.

A family member told us, “[Relative] has a lot of complex needs. [Staff] are very good at supporting [them] to attend appointments.”

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.

We reviewed people’s daily care notes. These were pictorial which made the information recorded easier for people to understand.Staff told us they ensured they completed people’s daily records accurately to aid the monitoring and improving outcomes for people.

We looked at people’s daily records which documented all aspects of their support at the service. This included, food and fluid intake, additional emotional support needs and participation in activities within and outside the service. This detailed information enabled staff to effectively monitor people’s wellbeing, identify changes in needs or circumstances, and recognise emerging trends at an early stage.

Staff used this information to review support arrangements and take appropriate action, helping to ensure people received responsive care that promoted positive outcomes.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment.On site, we saw staff ask people for consent before entering their personal space or showing us to their rooms. People responded well to staff in relation to this.

Staff had received training in the Mental Capacity Act 2005 and understood how to ensure people were able to consent to the care and treatment they received. A member of staff told us, “We explain what we are doing, and ask people if they are happy for us to help. We always ask for consent before delivering personal care, and respect [people’s] choices.

People were involved in consent decisions, and where required decisions were documented. The service worked with health and social care professionals when required where best interest meetings were required if people’s decisions put them at the risk of avoidable harm.