Vigilant Health Care Ltd

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 newly registered 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 was effective by assessing and reviewing their health, care, wellbeing and communication needs with them.

Staff carried out comprehensive assessments with people, their relatives and any relevant healthcare professionals to gather all relevant information they required to provide person centred care and understand how people needed to be supported. These assessments took account of people’s preferences and what was important to them.

The provider planned and delivered people’s care 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 assessed and provided support in line with best practice guidance. Staff stayed up to date with best practice guidance through regular training and supervision. The registered manager had registered with several organisations who disseminated best practice guidance and news about the sector. This was shared with the staff team.

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 worked well together. A staff member said, “There is great collaboration in the team.” Calls were organised well when people needed support from 2 staff. A staff member told us, “When double-up care is required, we coordinate with colleagues in advance and communicate clearly at the visit to make sure tasks are shared fairly and safely.”

At the time of our assessment not many people were receiving support across services, but staff told us they would communicate with other health care professionals involved in people’s care to ensure there was coordination and continuity of care when required.

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.

Most of the people using the service had close families who took a lead on supporting them to access healthcare services when they needed them. However, people and relatives told us staff were very observant and would communicate with them if they had any concerns about a person’s health or welfare. One relative said, “If they are worried about anything then they always let me know.” Staff included details of people’s GP practice in their care records so they could contact the GP if needed.

Staff supported people with food preparation. Most people using the service had capacity and informed staff what they would like to eat so this could be prepared for them. Where people did not have capacity, their families organised their menus and staff prepared meals in line with this. A relative said, “The food is prepared brilliantly.” We saw people’s records instructed staff to ensure people had access to drinks and daily notes confirmed this was done.

The provider routinely monitored people’s care 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 were asked about their goals and what they wished to achieve from the support provided. Staff worked with people to enable to them to achieve those goals and supported them to be as independent as possible whilst maintaining their safety.

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

Staff worked within the Mental Capacity Act 2005. People were involved in their care decisions and staff respected those decisions. Where people did not have the capacity to consent to their care and support, staff liaised with those authorised to make decisions on their behalf and worked within their best interests.