Adonai Care Services 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 inspection we rated this key question good. At this inspection 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 service made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them.

People’s care and support needs were assessed before they started to use the service. Staff had access to information about people’s needs, through the providers electronic care planning system. People’s care and support needs were assessed, reviewed, and updated as required. People’s records were accurate and reflected the care they were receiving. There was a clear process which included dedicated staff who continually monitored the care delivered. Regular reviews took place and had ensured the person was involved, this included those important to them.A member of staff said, “This has helped us improve client safety a lot.”

The service 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 were involved in creating and amending their care plans and risk assessments. The service delivered the care people needed, when they needed it. A relative told us, “Over time my loved one’s mobility deteriorated, and Adonai Care Services Ltd have changed with us and increased the care service with no issues, and this has really helped us out.” The registered manager and manager told us they worked with people following good practice guidance, this had included working to support people’s mental health and physical wellbeing. A health and social care professional said, “The carers have always been proactive and keen to help.” Evidence-based care underpinned the policies and procedures within the service.

The service worked well across teams and services to support people. They made sure people only needed to tell their story once by sharing their inspection of needs when people moved between different services.

People told us the information about their care was shared appropriately. Staff kept detailed records of care visits on the providers electronic care planning system, these were shared as needed. The registered manager and manager had oversight of records and could access details of care to share them with external professionals. For example, the service provided support for people who had complex needs, close monitoring and reporting to the medical team was vital to ensuring the person’s wellbeing and safety. A health and social care professional told us, “When I ask Adonai Care Services Ltd for some information, it is usually given immediately or very quickly after I have asked. I do not have to chase the service for anything.” These positive working partnerships had contributed to a safe and continuous service for people.

The service supported people to manage their health and wellbeing to maximise their independence, choice and control. The service supported people to live healthier lives and where possible, reduce their future needs for care and support.

People were supported by the service to live a healthy lifestyle. Care plans and risk assessments were clear and accessible. People’s nutritional needs had been assessed and there were clear instructions in place, this had included where a person had difficulty swallowing, needed to increase their fluids or gain weight. Information about people’s needs was shared efficiently as records were electronic. People’s health needs were known, and plans were in place for each person to ensure changes were recognised and communicated to the relevant specialist service. Health and social care professionals were positive about their working relationship with the service.

The service 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 and their relatives shared examples of positive impact on their lives since receiving care and support from the service. For example, care plans and risk assessments detailed clear goals and outcomes for people, and this included instructions for staff. Each care plan was individual and unique to the person. Staff were motivated to ensure the best care for people. A member of staff said, “Communication is strong, and everyone works together to achieve the same goal: providing the very best care for our clients.” The service worked closely with a variety of external professionals; the feedback was positive. A health and social care professional told us, “The care staff are all friendly individuals, and they are knowledgeable about the person they are supporting. They are calm under pressure.”

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

People told us they were treated with respect and supported to live their lives. Where appropriate, relatives had been involved in decisions made on the persons behalf. Consent was sought from people and where necessary in accordance with the Mental Capacity Act 2005 (MCA). Decision making was supported by clear policies and processes. The registered manager understood the principles of the MCA and was strengthening the process during the inspection. Care was planned in the persons best interest, in the least restrictive way and in consultation with others. Where people had given a relative or friend the legal authority to act on their behalf in matters such as their health and welfare needs, the correct documentation was in place.