All Care (GB) Limited - Lion Oak Court

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 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 told us their care needs were assessed. Comments included, “Before we began getting service, they talked about our requirements and medical issues.” The registered manager attended panel meetings with stakeholders, to help assess whether the service could meet prospective tenants needs. Senior staff visited people in their own homes to make formal assessments prior to moving to the service. This helped ensure people had care plans in place once care services commenced. There was a system in place to regularly review people’s needs, with care being adjusted as appropriate. This helped ensure people’s current needs were being met.

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. The provider had effective systems in place to support people with their nutrition and hydration. Most people at the service were independent around their eating and drinking, but some required some support in cooking. They told us that staff provided effective support around their meal preparation, which was reflective of their choice. They said that staff were pro-active in promoting good hydration. This including making drinks for people and ensuring drinks were accessible to people between care visits. Senior staff monitored key tasks in relation to eating and drinking using the electronic care planning system. There was evidence senior staff escalated concerns to professionals when required. The provider had developed policies in line with best practice guidance and kept them updated to reflect the most current recommendations.

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 registered manager understood the importance of having knowledge and understanding of all people living at the service. This included people who were not receiving care services. This was due to responsibilities around responding to call bell requests and to sharing information with emergency services if required. They had gained consent to collect and document key information about people’s needs, which helped facilitate effective communication with visiting stakeholders. We received positive feedback from the housing provider around shared systems of communication and engagement with the provider. This helped to ensure any issues people raised would be to the correct party to address.

The provider supported people to manage their health and wellbeing to maximise their independence, choice and control. People’s care plans were regularly reviewed as their healthcare needs changed. There was evidence that appropriate stakeholders had been consulted to ensure care plans were following effective practice. For example, the provider had worked effectively with hospital discharge teams when supporting a person to regain their mobility after suffering a stroke. The support led to improvements in the person’s mobility and wellbeing. The registered manager told us they had experienced challenges in obtaining updates from visiting health professionals. They said they regularly encouraged people to share updates relevant to care, which helped ensure any health updates were incorporated into people’s care plans.

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and met the expectations of people themselves. People told us they were involved in planning their care and identifying desired outcomes. For example, care plans identified areas where people wished to remain independent of support. The provider monitored care to help ensure there were appropriate levels of support in place. They worked with people and commissioners to adjust levels of care to meet people’s changing needs.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. However, the provider needed to ensure the breath and scope of powers for appointed individuals (power of attorney) was clearly documented in people’s care records. This would help ensure it was clear who could legally act on people’s behalf. Staff had a good knowledge around consent and the need to respect choices when people made unwise decisions. People told us that staff sought their consent before carrying out care tasks or supporting them with their personal care. One relative told us about how staff were patient and respectful in seeking their family members consent to care, as they could often be reluctant to receive support. They told us this had a positive effect on their family members levels of engagement with their personal care routines.