Saxon Care Solutions Ltd (Trowbridge and Westbury)

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

We assessed all of the quality statements in the effective key question.

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 and their relatives told us an assessment had been completed before they started using the service and staff had a good understanding of their needs.

Records demonstrated people’s needs were assessed with them before they started using the service. Assessments were regularly reviewed to ensure the level of support remained correct.

The registered manager told us people’s needs were regularly assessed. Assessments included a range of areas which helped staff understand people’s needs. Staff contacted people after the first day of their care package to make sure no immediate changes were needed.

The registered manager told us they worked together with specialist providers and the community health teams to ensure care was planned in line with current guidance and best practice.

People told us they received the support they needed, for example, to maintain suitable nutrition and hydration.

The service had evidenced based assessment tools embedded in their care planning system, for example, tools related to nutrition and skin integrity. These helped to ensure care was planned in line with current best practice guidance.

Staff told us the systems for communication with other care providers and the community health teams worked well. Staff said communication was clear and information was shared where relevant.

A quality assurance assessment by local authority commissioners found good systems to ensure teams worked well together to meet people’s needs.

People told us staff worked well with other services, such as their GP, other care providers and community health services, to ensure they received the care they need.

People’s care records demonstrated staff worked with other services to ensure their needs were met effectively. This included work with another care provider to address concerns and improve the consistency of support for a person.

People's care records demonstrated they had been supported to access relevant health services, including GP and community nurses.

Staff supported people to access local healthcare professionals. The registered manager told us they had good links with GP surgeries and community nurses.

People reported they were able to access health services, with support from staff where needed. This included support to plan hospital visits to ensure they went as smoothly as possible.

Relatives told us the electronic recording systems enabled them to monitor the care their relative was receiving through an App and assess whether any changes were needed with the planned care.

The registered manager told us when people needed specific monitoring for health conditions staff would be provided with guidance. People’s care was regularly reviewed which helped management make sure people experienced positive outcomes.

The service used an electronic care planning system which enabled staff to have access to all guidance needed. In addition, staff were recording care delivery every time they visited people. Systems were in place to make sure monitoring of the daily records highlighted areas of care that might need improvement.

People gave feedback to the provider’s survey indicating they were involved in decisions about their care and had consented to their support plans.

Staff had completed training in the Mental Capacity Act and the provider had a policy and procedures to support staff. Care records demonstrated people had consented to their support plans.

Staff demonstrated a good understanding of the Mental Capacity Act and consent matters. Staff understood the need to follow the best interest decision making process if people were assessed to lack capacity to consent to a specific decision.