Angels Care Home 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. 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 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 before they started using the service to determine if the service would be suitable for them. Assessments helped the management team develop people’s care plans with them and to provide care staff with the information and guidance they needed. This included speaking with people and their relatives to gather information about what was important to them, their preferences and their interests. The management team also liaised with health and social care professionals within the NHS, who referred people to the service. This information was used to inform care planning and was reviewed as people’s needs changed.

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 registered manager met with people and their relatives to discuss the level of support they needed. Care plans included information that was relevant and important to them, as well as their desired outcomes for their support. This promoted people’s independence and supported them to work towards their goals.

The provider worked well across teams and services to support people. They made sure people only needed to tell their story once. There was a collaborative approach to planning and coordinating people’s care and treatment.

People and their relatives told us the service worked with other health and social care services to provide ongoing care and treatment. Staff and management were aware of how to access advice regarding individuals' health needs, such as from GPs or social workers. Staff communicated effectively to keep updated and clear records were kept. This contributed to continuity and consistency of care. Recommendations from health professionals such as the GP or speech and language therapists (SALT) were followed. For example, if people had swallowing risks and required foods with softer texture, advice from SALT teams were implemented so that people could eat and drink safely. The staff communicated with district nurses who visited people to administer certain medicines and shared information where necessary.

The provider supported people to manage their health and wellbeing to maximise their independence, choice and control. The service supported people to live healthier lives and where possible, reduce their future needs for care and support. Staff supported people to maintain their health, nutrition and hydration. They helped prepare meals and drinks and reminded them to take their medicines when needed. Relatives told us staff were important in maximising their family member’s health and wellbeing. A relative said, “The carers are so supportive and we really appreciate what they do. [Family member’s] health needs are complex and the carers know what they need to make sure they stay healthy, like giving them water and food they like to eat.”

People’s care records contained information about any long term health conditions people had. Staff or relatives supported people to attend health appointments, depending on the agreement set out between the person and the service.

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. Relatives felt the service benefitted their family members and helped them have as good a quality of life as possible.

Staff told us they monitored people’s health to ensure they received positive outcomes and a good quality of life. A relative said, “The carers are a real positive for us. They ease the pressure, and they lift [family member’s] mood.”

The provider informed people about their rights around consent and respected these when delivering person-centred care and treatment. Staff told us they asked for people's consent at all times before providing them with support. People’s capacity to make decisions about their care was assessed. Staff were knowledgeable of what processes to follow should they feel a person’s capacity to consent to their care had declined.

People’s choices and decisions were respected. Relatives told us their family members were asked for their consent by staff in relation to the care and support they received. They were involved in planning their care. People and their representatives were involved in care decisions and staff respected their wishes.