Lumina Care Wigan & St Helens

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

Our rating is good. People’s needs were fully assessed before they received a service, and people were involved in the development of their care. Records demonstrated when people had consented to Lumina Care Wigan & St Helens providing them care, and assessments of people’s capacity to consent were in place where there were concerns people were unable to consent. Outcomes of such assessments were decision specific in line with the Mental Capacity Act 2005. People were supported appropriately to access the service of other professionals to ensure their physical health needs were met. This included arranging and attending appointments with people when appropriate. Outcomes for people were reviewed on a regular basis with people and family members involved where appropriate.

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.

People confirmed they were involved in the development of their care package before the care was delivered. One person told us, “When I first started [Staff Name] came out to discuss my care.”

Staff described how people were involved in their care and support, from the initial assessment and care planning to ongoing reviews and decision making.

People’s needs were assessed, and care was agreed before they received a service. Appropriate records had been developed which reflected their identified care needs.

People told us they received care based upon their preference. People were supported to eat and drink when needed.

Staff described how they worked with multi-disciplinary teams and other professionals to ensure professional guidance was followed and reflected within care plans.

Risk assessments and care plans identified aspects of people’s care which required evidence-based care and treatment to be followed. For example, support when eating and drinking.

Family members told us the provider worked closely with them and kept them updated regarding any changes in people’s care needs. People told us staff worked effectively with other agencies. One person had recent queries about the contributions they had to pay the local authority for their care and staff helped them with this. They told us, “I had a bill from the council about my care that I wasn’t sure about, and I rang them up about it but was still confused. I mentioned it to the carer, and they offered to ring the office and follow it up for me which was helpful.”

Staff described how they maintained positive working relationships with professionals including GP’s and district nursing teams to ensure people were supported.

We sought feedback from partners about how the provider worked effectively with other agencies to support people. We did not receive any information of concern with respect to this.

People’s care plans included details of other services and professionals who were involved in their care. Changes to people’s care were communicated to staff via the electronic care planning system.

People confirmed they were supported to access health services when needed. For example, staff contacted the GP if people needed them to.

Staff understood their role in supporting people to live healthier lives, for example by ensuring people had the equipment they needed and through promoting healthier lifestyles.

Care plans identified the different services people accessed to support them to live healthier lives. Where appropriate, information was shared with staff, and records were maintained following appointments or feedback from professionals who worked with people.

People told us they felt their outcomes were identified, and monitored and described how staff had guided them in ways which enhanced their life. For example, one person told us, “I got some good advice from one [staff member] recently. I was getting my meds individually and had to sort myself into a weekly tower thing. A carer asked if I was doing it all by myself and they recommended I asked for a blister pack, so I got in touch with GP. They said they’ll start sending me them in a blister pack now so that’ll be better for me as I have issues with my hands and get tremours. I wouldn’t have known to ask for that if staff didn’t say.”

Staff described the process for monitoring and improving outcomes for people. This included through the recording of people’s care as well as the review of people’s care plans.

People’s care and support needs were routinely monitored by the management team. Reviews were undertaken either over the telephone or face to face. People’s views about their care were obtained as well as any changes to care agreed.

People confirmed staff sought consent from them at each care visit and respected their decisions.

Staff described the process for consent to care and treatment and gave examples as to how they supported people to make decisions.

Systems were in place to record people’s consent to care. For people who were unable to consent to care, the manager was able to demonstrate how they assessed people’s capacity and engaged with others to make decisions about people’s care in their best interests.