CSS 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. At our last assessment we rated this key question requires improvement. At this assessment the rating has changed to good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this. The provider was previously in breach of the legal regulations as they failed to ensure people’s needs were fully assessed and accurate, complete and contemporaneous records were not kept. The provider had improved since our last assessment and was no longer in breach of this regulation.

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. The information gathered during the initial assessment was used to develop personalised care plans. These included information about people’s life history and any preferences they had.

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. Care plans described the support people required with all aspects of their care. This included details of other health and social care professionals involved, such as the GP and social workers.

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. Most people and relatives confirmed staff provided the care they needed. Staff said there was good teamwork and good rapport with people. A staff member said, “I enjoy working with the team who are very welcoming and supportive. We have good relationships with clients and their families with makes the job more enjoyable.”

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. Care plans included information about people’s health and the support needed to promote their wellbeing. A staff member said, “The positive aspects of the care I provide is knowing I have helped the client who has needed my assistance, and that I have helped improve their quality of life.”

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured outcomes were positive and consistent, and they met both clinical expectations and the expectations of people themselves. Care plans had been reviewed to ensure they reflected people’s needs. The registered manager said following the last assessment, they had developed an improved system to flag when care plan reviews were due. A staff member commented, “All the care plans are person centred and change when the needs of the client change.” The registered manager told us regular spot-checks were conducted to ensure people were receiving the correct care.

The provider told people about their rights around consent and staff respected these when delivering person-centred care and treatment. Care plans described the support people needed to help them make choices and decisions. People confirmed they were asked for consent before they received any care or support. A person said, “There are no problems [with consent], they do what I ask them to do.” A staff member commented, “I ask them [people] for their approval before I do anything.”