Edith Healthcare Wolverhampton

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 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. The registered manager told us they undertook assessments with people when they began using the service. They told us this led to risk assessments being completed for any risks identified and care plans put in place to guide staff on how to support people. People told us they had a care plan in place which was used by staff to meet their needs. Staff told us they followed people’s individual care plans which were put in place to support them to meet people’s needs. A staff member said, “We follow the procedures for everyone in the care plan. They are different for each person, and we get to know people from these and spending time with them.” We saw people had their needs assessed and individual risk assessments were completed based on these needs. Plans were put in place which had guidance for staff on how to keep people safe and meet their needs and individual preferences.

The provider had systems in place to plan and deliver peoples care taking account of what was important to them, and they did this in line with legislation and used a range of evidence-based tools to plan and deliver their care. The registered manager told us the system in place used a holistic assessment to identify needs and individual risk assessments were also completed as required for risks identified. We saw assessments and care plans included individual risk assessments such as skin integrity and falls. These tools were based on evidence-based practice. Staff told us people’s nutrition and hydration needs were considered, and they had guidance in place in care plans to support people effectively with maintaining their nutrition and hydration. People and their relatives confirmed staff had access to care plans which guided how their individual needs were met.

The provider worked well across teams and services to support people. They ensured people only needed to tell their story once by sharing their assessment of needs when people moved between different services. The registered manager told us, “There are logs in the property for the whole month and the staff can read these to maintain knowledge.” Staff told us they had access to records from previous calls and were kept up to date if things changed for people. There were systems in place to work alongside other health professionals if needed.

The provider did not always ensure staff had the guidance in place to support people to manage their health and wellbeing. Most people told us they did not need support with their health as they were able to maintain this themselves or had help from family members. Some relatives felt people were not consistently supported to maintain their health and wellbeing. Staff were not consistently aware of how to support people to manage their health conditions. A relative told us, “There have been issues concerning a catheter where we got the District Nurse service involved as some staff did not know what to do.” The registered manager told us they were able to liaise with other health professionals to seek support with people’s health.

The provider routinely monitored and reviewed people’s care plans to make changes when individual needs changed. The registered manager told us people had monthly reviews which were carried out in their homes. The reviews enabled people to discuss their care and support and provided an opportunity to discuss any changes needed to their care plans and ensure they were satisfied with the service. We saw care plans and risk assessments were reviewed every 6 months or when something was highlighted in the service user monthly reviews or when things changed. A person told us, “The company do complete regular personal follow up meetings, and our response has always been positive.”

The provider had systems in place to protect people’s rights around consent. The registered manager told us all staff received Mental Capacity Act 2005 training. They described the system in place to seek consent from people using the service in their care plans. There was a system in place to enable people to have their mental capacity assessed and document best interest discussions when this was needed. The registered manager told us everyone they were supporting at the time of the inspection had capacity to make their own decisions about their care. Records we saw supported this. Staff could describe how people gave consent to their care. A staff member said, “We always seek verbal consent and always let people know what we are doing before we do things.” People confirmed staff were respectful and always sought their consent.