Care 24/7 Healthcare 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 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.

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 service made sure people’s care and treatment was effective by assessing and reviewing their support, health and well-being needs. People’s communication needs were assessed and responded to. People were fully assessed before a package of care was agreed. This included the review of information and assessment information provided from the local authority and NHS. This assessment was built on as staff understood and responded to individual needs. Communication needs were recorded within the care plan and staff were aware of how to respond. For example, staff told us, “I understand some clients have difficulty communicating due to dementia or health conditions, we spend time listening to make sure we understand”.

The service planned and delivered people’s care and treatment with them, including what was important and mattered to them. For example, when people had their visits and what support was provided. Legislation and current evidence -based good practice was used to underpin the care and support provided. For example, NICE guidelines (based on best clinical evidence) were used to train staff. Health professionals were contacted for advice and support in order to provide the best outcomes for people. An external health professional told us, “They seek advice and guidelines and follow clinical advice appropriately”.

The service worked well across teams and services to support people. Staff liaised effectively with other health and social care services to promote continuity and ensuring changes in health were identified quickly and responded to. For example, the director described how they work with the local authority if people needed extra support to keep them safe. People and their relatives told us how staff liaised closely with them, to ensure the package of care supported them in the way they wanted.

The service supported people to manage their health and wellbeing to maximise their independence, choice and control. The service supported people to live healthier lives wherever possible. Care plans confirmed the health needs of people were assessed. One person had an eating disorder and staff were given guidance on how to support this person, encouraging a healthier relationship with food. Staff talked about supporting people to eat well and encouraging a good diet. One staff member told us, “I also encourage healthy eating and ensure they stay hydrated. A cup of coffee or juice do help you know.”.

The service 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. People told us they were able to contact a manager in the office at any time and provided feedback on the package of care. The management team spoke to people and staff on a regular basis and in this way monitored outcomes. As there was a small client group this system promoted good communication and monitoring. One staff member said, “We do tend to have regular people to look after- It’s all about them -all about what they want”. Another said, “If any concerns about pressure sores is treated and checked regularly and concern is raised quickly and responded too quickly to prevent deterioration or to implement the right care. Always quick to respond. There is senior staff available 24- 7 and on call”.

The service advised people about their rights around consent and respected these when delivering person-centred care and treatment. Care records confirmed that consent to support was discussed before a package of care was agreed. Staff spoke about respecting people’s choices and understood the importance of involving people in decisions about their care. One staff member told us, “I help people make decisions by listening to what they want, giving them the information they need, and supporting them as they choose what’s best for them”. A health professional told us, “Staff respected people’s choices and their right to change their minds”.