Nurtured Care NE

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 71 (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 regularly reviewing their health, care, wellbeing and communication needs with them. Assessments were completed before care began and reviewed when needs changed, and covered physical and mental health, communication needs and risks. People were involved in discussions about their needs and care plans reflected how they wanted to be supported. Staff used this information to deliver consistent, person‑centred care. A relative said, “The company discussed the plan directly with me and if anything needed adding or taking away.”

The provider delivered effective care and treatment that was based on current guidance and good practice. Care plans were personalised and gave staff clear information on how to support people safely. Staff followed professional advice and worked with health and social care professionals to make sure people received appropriate treatment. Training and guidance supported staff to deliver care in line with people’s needs and recognised best practice. Staff told us, “Training includes face to face sessions with equipment such as hoists and profile beds.”

The provider made sure staff, teams and services worked well together to support people’s care. Information about people’s needs and risks was shared appropriately between staff and with external professionals. Staff worked collaboratively and sought advice when needed, which helped make sure people received coordinated, consistent care and support. A healthcare professional said, “Staff have been informed and changes agreed following the review.”

The provider supported people to live healthier lives by promoting wellbeing and access to healthcare. Staff monitored people’s health and responded promptly to changes by seeking advice from health professionals. People were supported to attend appointments and received help with nutrition, hydration and activity in ways that reflected their preferences and abilities, helping to reduce the risk of avoidable health deterioration. A person told us, “They would get on to the doctor straight away.”

The provider had systems to monitor people’s care and outcomes, but these were not consistently effective in driving improvement. Audits and reviews were completed, but learning was not consistently used to evaluate practice or demonstrate how outcomes for people had improved. This limited assurance that monitoring activity always led to sustained quality improvement. Staff told us audits were completed but said, “Learning isn’t always followed through.”

The provider made sure people’s consent to care and treatment was sought and respected. Staff understood their responsibilities under the Mental Capacity Act (MCA) and supported people to make decisions wherever possible. Capacity was assessed when needed and best‑interest decisions were made appropriately reflecting the principles of MCA. Care plans reflected people’s choices, which promoted their rights and independence. Staff told us, “We always gain consent before delivering care.”