Respectful 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 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. Thorough assessments of people’s care needs were completed prior to the commencement of care. Assessments documented people’s needs and their preferences for support. People and their relatives were involved in care planning and regular reviews of people’s care needs took place.

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. Records showed the service was in regular contact with health and social care partners where required to ensure care delivered was in line with people’s needs. Where people required additional monitoring, for example if health professionals had request food and fluid monitoring charts to be in place, the service ensured these were completed correctly.

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 provider ensured people’s care records were available to move with them should this be required, for example if there was a hospital admission a paper copy of their care plan was kept up to date in the person’s home. Staff spoke positively about how they work together as a team, for example a staff member described how a new colleague was nervous about starting their role in care and support and shadowing opportunities were extended to help this person develop in their role.

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. Records evidenced the service regularly worked with health and social care professionals and sought their advice where required. Information from health and social care professionals was made available to care staff via online care plans.

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured outcomes were positive and consistent, and met both clinical expectations and the expectations of people themselves. The effectiveness of people’s care was monitored through regular observations of staff practice and via feedback requests to people. Where people’s needs had changed, for example if a person was unwell, staff acted quickly to alert health professionals and the provider so appropriate support could be organised quickly.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. The Mental Capacity Act 2005 (MCA) provides a legal framework for making specific decisions on behalf of people who may lack the mental capacity to do so for themselves. The MCA requires that, as far as possible, people make their own decisions and are helped to do so when needed. We found the service was working within the principles of the MCA. One care record did contain contradictory information regarding a person’s decision-making ability. However, daily notes demonstrated that the person was given choice and control over their day-to-day care in line with expectations. Staff received training in person-centred care and the MCA.