Destiny Support Care

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.

Detailed assessments were completed before people started to receive a service. A relative told, “We were very involved with completing [relatives] care plan.” Another relative told us, “The manager came out to see us and completed an assessment. We then reviewed [their] care plan.”

Care and support needs were consistently reviewed. We saw that care plans were detailed, personalised and up to date.

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.

People and their relatives told us how preferences for care were considered when planning and delivering care. A person told us, “The care meets my needs, and the manager comes to see me and reviews the care plan. I feel listened to and very well supported.”

Care plans included information about people’s likes, dislikes and what was important to them.

The provider had a suite of policies and guidance which they ensured were kept up to date and shared with staff.

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.

The management team co-ordinated care well with partner agencies and amongst its staff team members. There was good continuity of care from consistent staff. Records showed that staff maintained accurate care records to ensure the handover of information to their colleagues.

We saw advice and guidance from partner agencies was included in the records we reviewed.

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’s health needs were known by staff and included in care plans. A person told us, “They are well aware of how to look after me as I have [health condition] and have phoned the doctor when [change to health].”

Staff knew how to monitor and respond to any changes in health and escalated to health services when needed. A relative told us, “[Relative] was unwell and the carers contacted me; straight away. Due to the carer’s vigilance, [relative was] able to get [treatment] for an infection promptly.”

Frequent audits and quality assurance checks helped the provider maintain effective oversight of people’s health and wellbeing and identify whether further support may be needed.

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 were routinely reviewed and updated with any changes. A person told us, “My care plan was reviewed in January. I have a [medical device] now and the manager has trained the carers in managing this.” A relative told us, “[Relative] has a care plan that is regularly reviewed and assessed.”

People were supported to express their wishes and expectations for their care. We saw planned outcomes for people included being supported to continuing to live in their own homes and maintaining independence.

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

People and relatives spoke positively about staff engagement during the delivery of care. A relative told us, “They (staff) will talk to [relative] all the time. They really do care, I can see how engaging they are with [relative].”

Staff completed training in the Mental Capacity Act 2005 and understood the principles of consent. We saw evidence of consent forms in people’s care plans, with spot checks of staff conduct including observations of staff practice in seeking consent.