Rexshi 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.

People's needs were assessed before support commenced. Assessment documentation considered physical health, emotional wellbeing, communication requirements, risks and personal preferences. Information gathered informed the development of care plans and support arrangements.

Relatives confirmed they were involved in discussions and decisions regarding care delivery. One relative told us, "We discuss at length all aspects of [name] care and put a plan of action in place."

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.

Staff had access to care planning tools and risk assessment processes which supported consistent approaches to care delivery. Staff demonstrated awareness of recognised assessment tools including the Malnutrition Universal Screening Tool (MUST).

Staff understood how these assessments contributed to identifying risks and informing preventative care. One staff member said, "MUST identifies malnutrition risk." Another staff member told us, "These tools guide care planning and prevention."

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.

Systems were in place to promote effective communication between staff and with external professionals. Staff described using handovers, team meetings and management communication to remain informed about changes in people's needs.

Partnership working with families and healthcare professionals supported coordinated care delivery and continuity of support. One staff member said, "We work closely with healthcare professionals and families."

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.

People received support to maintain their wellbeing, independence and social engagement. Care planning reflected activities and routines which were important to people. Staff supported people to access meaningful activities and maintain community connections.

One relative described how staff supported their family member to attend regular social events, stating, "The carers walk with [name] to her weekly coffee morning with friends."

The same relative said, "Home cooked fresh meals have considerably improved [name] diet and healthier living."

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 health and wellbeing were monitored through regular observations, daily records and reviews. Staff understood the importance of reporting changes promptly and maintaining accurate records.

Monitoring processes enabled staff to identify concerns and seek additional support where needed. One staff member told us, "I observe wellbeing and behaviour." Another staff member said, "Accurate records support timely interventions."

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

People were supported to make decisions about their care and staff demonstrated an understanding of consent and the Mental Capacity Act 2005 (MCA). Records reviewed reflected consideration of consent and decision-making processes.

Staff described seeking consent before providing support and understood that capacity should be presumed unless assessed otherwise. One staff member said, "I always seek consent."