Jadee's Nursing Agency

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• 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 reviewing their health, care, wellbeing and communication needs with them.

People and relatives confirmed this with one person sharing. “I have had deep depression, and they have helped me out. I can’t thank them enough. The manager comes out and assesses the care plan and does spot checks. It is the best care anyone can ever have.”

Whilst management and staff demonstrated knowledge and understanding of people’s individual needs and wishes, the care records recorded basic information, this did not fully reflect the person-centred nature of care being provided by staff in practice. The registered manager gave assurances that this would be addressed.

We did not look at Delivering evidence-based care and treatment during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at How staff, teams and services work together during this assessment. The score for this quality statement is based on the previous rating for Effective.

The provider supported people to manage their health and wellbeing to maximise their independence, choice and control.

People were supported by staff to live healthy lives and where possible, reduce their future needs for care and support. Relatives explained staff had helped to guide people about healthy eating and lifestyle choices which had helped some people lose weight where this was an identified need.

The registered manager had recorded information about people’s healthcare needs in assessments and care plans. They shared guidance and information with staff about how these needs should be monitored and met. People and relatives told us staff supported them to access external healthcare services. For example, one person said, “Any issues they [staff] call the GP, district nurse or other appropriate professionals.”

We did not look at Monitoring and improving outcomes during this assessment. The score for this quality statement is based on the previous rating for Effective.

People consented to their care and treatment. They confirmed they were offered choices and these were respected. People were asked to agree and consent to care plans. Some people lacked the mental capacity to make certain decisions about their care. The registered manager assessed these and consulted with people’s representatives to help ensure decisions were made in their best interests.

Staff received training and there were systems in place to assess people’s capacity to make individual decisions. People had individual mental capacity assessments and best interest decisions in place when they lacked capacity to make decisions included in their care plans.

The provider had met their legal requirements for people who had a Lasting Power of Attorney (LPA) appointed. Prior to making decisions about care, management ensured evidence of the LPA was obtained and they were consulted about all decisions.

Staff had a good understanding of their responsibilities to obtain people’s consent to care. One member of staff told us, “I respect people’s dignity by always treating them as individuals, with compassion and without judgment. That means giving them privacy during personal care, covering them properly, and explaining what I’m doing step by step, so they feel safe and in control. I speak to people politely, using their preferred name, and always ask rather than assume what they need help with. I also encourage independence where possible, so they don’t feel helpless or embarrassed. Even small things, like knocking before entering their home or asking permission before touching personal belongings, go a long way in preserving someone’s dignity.”