Royle Care Limited

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 and registered manager made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them. These assessments were thorough and person-centred, ensuring that the service could meet the individual’s needs and preferences safely and effectively. One person told us “The [registered manager] went through everything with me and wrote everything down” the person told us they had telephone and face to face reviews regularly about their care. Care plans were reviewed and updated if a person needs changed for example one person told us they were admitted to hospital and their care plan was updated after their discharge. Staff told us any changes to a person’s care were communicated with them.

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’s needs were assessed holistically and this assessment generated individual risk assessments and care plans.We saw assessments and care plans included individual risk assessments such as skin integrity and mobility. The provider collaborated with other professionals such as occupational therapists, to ensure that the most appropriate equipment was supplied. The provider engaged with additional specialised training to ensure staff had the appropriate skills to meet people needs for example when supporting a person with a Percutaneous Endoscopic Gastrostomy (PEG feeding tube and pump).

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 told us they had access to information that was up to date about people’s needs, and any changes were communicated and recorded on the care plan. Staff supported people to attend hospital appointments and ensure they had their medicine when required. Staff made timely referrals and worked well with other agencies to ensure people's care needs were met.

Staff supported people to live healthier lives and where possible, reduce their future needs for care and support. Staff had the knowledge to monitor and identify a deterioration in a person’s health. Other people managed their own health and wellbeing with the support from their loved ones.A relative told us that a carer had noticed an injury on her mum’s head, they had informed the office who contacted her and called the district nurse who came later the same day and dressed the wound. Staff also followed guidance given by health professionals, to help people manage any physical and/or mental health needs. Care plans contained detailed information about specific health conditions, such as epilepsy and Parkinson’s disease, including how these conditions affected the individual. This enabled carers to understand the person’s needs and refer to clear, condition-specific guidance when providing support.

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and they met both clinical expectations and the expectations of people themselves. Staff worked with people to identify any goals or outcomes they wished to achieve. These were recorded in their support plans, using an ‘outcomes star’. One person said carers encouraged her relative to be independent and told us her relative will try and do things for herself with help from the carers. People told us the provider did regular reviews either on the phone or in person.

The provider was providing a re-ablement service and worked with people to improve their outcomes such as assisting them with exercises and therefore increasing their independence.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. People’s rights were respected, and people were at the forefront of decisions about their care. People’s consent to care and support was respected by staff.Care plans were reviewed regularly to ensure any gaps relating to people’s ability to consent to care was identified and rectified. The registered manager was aware of the requirements of Mental Capacity Act 2005.The provider had a Mental Capacity and Consent to Care and Treatment Policy. Where people had awarded power to a third party to support them with their decision making, records identified who this was. This ensured that staff were aware of the appropriate person to consult or involve in decisions relating to people’s care and support. Staff received training in mental capacity and could explain how they involved people in their care.People’s wishes regarding resuscitation were recorded.