Promised 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.

This is the first assessment for this service. This key question has been rated 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.

People’s needs were assessed and met. Care plans detailed the support people required and included input from relatives when appropriate. A staff member told us, “[If I observe changes on person’s health], I inform my manager if they need more assistance.” Care plans were reviewed and updated ensuring care were responsive to people’s changing needs.

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 involved people and their relatives where appropriate in assessments and reviews. The provider ensured staff received training to meet people’s individual health needs. Care plans detailed health conditions, required support, and preferred care routines. People confirmed they received care in line with their needs and preferences. Staff followed provider guidance to deliver care in line with best practice.

The provider worked well across teams and services to support people. They understood people would only needed to tell their story once by sharing their assessment of needs when people moved between different services.

Staff told us they received regular updates about changes to people’s needs, enabling them to provide appropriate care. They worked closely with the registered manager, shared information effectively, and maintained positive working relationships.

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 told us staff supported their health and wellbeing by promoting independence, encouraging healthy lifestyle choices, and supporting access to healthcare services. Staff monitored people’s wellbeing, responded to changes in health, and made referrals to healthcare professionals when needed, helping people to maintain choice, control and reduce future care needs.

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.

Staff monitored people’s health and well-being. A staff member told us, “I inform my manager if [person] needs more assistance.” People told us the staff and the registered manager, monitored their wellbeing and signposted them to relevant health services when required. The registered manager discussed health concerns with people and knew when to make referrals to healthcare professionals. Records showed people were supported to maintain regular health check-ups and reviews to support their ongoing wellbeing.

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

People told us they gave consent for staff to provide their care. Staff supported people to make decisions about their care. Care records contained information about the decisions people could make for themselves and where they required more support, for example to make decisions about managing their finances, medicines and personal care. The provider had a policy on Mental Capacity Act (MCA) 2005 which staff used for guidance on how to uphold people’s rights to make decisions about their care and support. The registered manager carried out mental capacity assessments and best interests’ meetings when needed.