Destiny Nursing & Care Agency 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.

The registered manager told us they reviewed people’s care every 6 months or when there was a change in needs. This included the person, their representative and care worker. People’s relatives confirmed this. A relative said, “[Manager] came round, and we did a proper review because we hadn’t done 1 for a while. [Manager] comes to the house.” They also told us staff informed the office if there was an update on their relative’s needs. People’s care records were in their home. A relative said, “It is in the folder so I can see it, it’s there I can look at it whenever I want.”

The provider planned and delivered people’s care and treatment with them, including what was important and mattered to them. People’s care records included information about how to ensure people received the right care and treatment in line with their preferences.

The provider worked well across teams and services to support people.

The registered manager updated staff via a messaging application if amendments had been made to people’s care records or rota changes. A relative told us staff informed the office of any changes in their relative’s needs.

The provider supported people to manage their health and wellbeing. Whilst there was limited evidence of input from other services during our assessment, there were only a few service users whose care was stable and the registered manager had a process for referrals to other services, if required.

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and met the expectations of people.

The registered manager completed quality assurance surveys with people. We reviewed these and found people and their relatives were happy with outcomes. A person said, “I am happy with the service [person] is receiving and feel supported by the manager and their regular visits.”

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. The service had a consent policy, and we saw consent forms in people’s files. A relative confirmed staff sought consent before providing care and told us, “They always tell [person] what they are doing.”