3D Healthcare 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 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 worked with people, relatives and professionals to ensure needs were assessed, understood and regularly reviewed. This included referrals to a dentist and the district nursing team. People had detailed risk assessments and care plans which were updated when their needs changed.

Relatives told us they were involved in assessments of their loved ones’ needs. A relative told us, “They contact me with any updates to [person’s] care and any changes they need to make. We discuss the care plans and have a review.”

These assessments informed personalised care plans that accurately reflected people’s current needs, preferences and health conditions.

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.

There was clear evidence people’s wishes and preferences were consistently documented within their care plans. These records captured how each person preferred to receive care. The documentation included personal preferences such as chosen foods, hobbies and preferred social interests.

During our visit, it was evident staff had a good understanding of people’s needs. Throughout our observations, staff members were meaningfully engaging with supporting people through activity or providing assistance when needed. This attentive approach contributed positively to the overall environment, ensuring people felt supported and valued, in line with Right Support, Right Care, Right Culture (RSRCRC).

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.

During our visit, we noted good teamwork and effective communication between staff. Staff were seen engaging in discussion about how assistance had been given for 1 person and how this information was recorded. We observed people’s daily care notes were being properly completed, indicating effective communication and information sharing between staff.

One staff member said, “We have daily discussions over people’s care and needs, any concerns we may have or any changes in behaviour, and we would raise any concerns to the manager. The manager likes to know if we see any changes in the people.”

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 attended annual health appointments and appointments were arranged when they required them. This included dental appointments and routine health assessments with GPs.

Staff recorded appointments appropriately in people’s care records with follow up appointments added to the person’s digital schedule. Each person had a hospital passport located in a ‘ready to go’ wallet, inside their care folder.

Fresh fruit was available in the kitchen and a variety of meals available for people to choose from, based on their preferences.

A member of staff told us, “With [person] it can be difficult sometimes because they have certain foods they prefer and [they] need to be encouraged with vegetables.”

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.

Staff tracked people’s weight weekly, and recorded changes in behaviour. Staff encouraged people to be active inside of the home and in the community. People’s outcomes and achievements were discussed within care reviews, team meetings and where appropriate with people’s loved ones.

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

Staff understood the principles of the Mental Capacity Act (MCA) and applied them appropriately. Staff could clearly explain how they assessed people’s mental capacity, sought consent and involved the manager if relatives or professionals were required when best interest decisions were needed.

Relatives told us staff respected their loved one’s choices, with 1 saying, “Staff always give [person] choices in how they receive their care and make sure they’re happy before they finish. [Person] has a great routine now and the staff support them really well.”

When inspecting the service, we could hear people being given choice and being encouraged to take part in activities, and staff waiting for a response before assisting.