Prime Way Care Ltd London

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.

Senior staff met with people and their relatives before the start of their care package to discuss their care needs and how they wanted their support provided. The provider used information from the local authority and other professionals involved with the person’s care to gather information on care needs. If the provider felt the identified support needs from their assessment did not reflect the local authority care package, they contacted them to make appropriate amendments.

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 completed a range of training courses which included training for specific support needs such as supporting autistic people and people with a learning disability and dementia. Staff told us they felt confident when providing care with a staff member commenting, “I feel very confident because of my experience and training.”

The provider had introduced information sheets providing guidance for staff on best practice. These included oral hygiene, helping with washing a person’s hair and support to eat. Staff also received emails with updates on best practice such as professional communication.

People and relatives explained staff supported with food preparation, if required, with comments including, “The carers monitor and assess the food item dates in the fridge and keep things in check for [family member]”, and “There are no problems with food. They prepare things and encourage me to eat.”

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 registered manager confirmed staff were contacted through emails, telephone calls, supervision and team meetings and other updates to communicate people’s support needs and processes. Staff told us they were in regular contact with senior staff and office staff and felt able to ask questions and raise any concerns. People’s care plans identified other professionals involved in the person’s care so staff could contact them if required. Staff completed records of the care they had provided during a visit which could be visited by other staff supporting the same person.

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 conditions were identified during the initial assessment. The provider included information sheets for staff on specific medical conditions as part of people’s care plans. The information sheets had guidance on symptoms, treatments and the possible impact the medical condition may have on the person and how their care is provided.

People and relatives told us staff supported them, when required, with contacting healthcare professionals. Relatives said staff kept them informed if a change in their family members health and wellbeing had been identified.

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 included outcomes related to different aspects of the care being provided such as mobility, nutrition and personal care. The outcomes identified what tasks the person could do themselves, what help they required from staff and the desired outcome of the care activity. The objective included guidance for staff on how they could support the person to achieve the outcome. Outcomes were regularly reviewed to ensure they reflected the person’s current support needs and could be achieved.

Staff completed records of the care they provided during each visit which were monitored to ensure they reflected the care plan. People and relatives told us they were asked for their feedback on the care provided and involved in the development and review of care plans.

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

As part of the initial assessment of a person’s care needs senior staff assessed the person’s mental capacity to make informed decisions about their care. If a person was able to consent to their care they signed the care plan. People and relatives said staff explained the care they were going to provide and got the person’s consent. Their comments included, “Staff member asks for my consent, they involve me with everything. I have no concerns”, “They always talk to [family member] about their care” and [Staff member] is very good at asking if there is anything else I need.” If a person was unable to make decisions about their care the senior staff worked with relatives and/or legal representatives to make decisions in their best interests.