Archived: Passion Tree Care Service 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.

Staff assessed people either in hospital or their home environment. A staff member told us, “As a team leader, the daily tasks involve the assessment. These can be under enablement. I go out and do my assessment then update the system.” Additional team leaders have now been recruited specially for the reablement service to support the assessment process.”

Reviews were held to ensure information in the care plans still met people’s requirements. A relative told us, “We had a review a couple of months ago, was all fine. If there's anything necessary to change, I'll ring the office.” Another relative said, “We have a care plan in place that is reviewed from time to time with my involvement.” However, we did have some people who, whilst they were happy with their care, were not aware of a care plan 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 were knowledgeable about people’s individual needs and nutritional requirements and had the training they needed to support people effectively.

People were happy with how staff supported them with their nutritional requirements. A person told us, “They make me lunch and an evening meal. It's all good.” A relative said, “They have a good handle on that. I supply it and they prepare it and cook it.”

Care plans contained information about people’s nutritional preferences and how they should be supported.

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 were proactive in reporting people’s changing needs to ensure they had the right support in place. A staff member told us, “I speak directly to my line manager about changes in a client's need, I also pass this update to our access team in terms of changes in mobility, medication etc. if a district nurse (DN) referral is done I am tasked with confirming if the DN arrives or the GP, we work collaboratively.”

The reablement service worked collaboratively with other professional to ensure people’s care records were up to date. The provider was in the process of introducing an App which other professionals will be able to access to further improve information shared with professionals. Regular meetings were held to discuss people’s progress and their reablement goals.

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 were supported to access medical professionals by staff when needed. A relative told us, “Occasionally we’ve needed extra support from doctors, the carers have been instrumental in supporting me.”

The service had strong links with external healthcare professionals and liaised with them when people required their support.

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 care plans contained information about their requested outcomes and demonstrated how staff should support people to achieve them.

The provider carried out progress reports for reablement packages to ensure they were meeting the assessed goals and expectations. This clearly recorded discussion with people about whether their goals had been met or if they required further support following reablement. A staff member told us, “We encourage them to get their self-confidence back so they can do what they usually can do for themselves, we document any progress, we are not to do everything for them but to encourage them.”

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

The Mental Capacity Act 2005 (MCA) provides a legal framework for making particular decisions on behalf of people who may lack the mental capacity to do so for themselves. The Act requires that, as far as possible, people make their own decisions and are helped to do so when needed. When they lack mental capacity to take particular decisions, any made on their behalf must be in their best interests and as least restrictive as possible.

People can only be deprived of their liberty to receive care and treatment when this is in their best interests and legally authorised under the MCA. When people receive care and treatment in their own homes an application must be made to the Court of Protection for them to authorise people to be deprived of their liberty. We checked whether the service was working within the principles of the MCA.

Staff had received training in the MCA and Deprivation of Liberty Standards. They had a good knowledge about obtaining consent and offering choices about people’s care and support. A staff member told us, “I ask people how they want their care, and they decide, we do not pick clothes for people we give them options so they can choose. We do not force people we always involve people.”