Aalia Health Care Limited

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• 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. This is the first assessment for this service. This key question has been rated good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 71 (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 checked make sure people’s care and treatment were effective and discussed people’s health, care, wellbeing and communication needs with them. However, regular reviews had not always taken place nor had they involved people or relatives, where appropriate. People or their relatives had been involved in the initial assessment of their needs. Care plans were developed around people’s personalised needs and preferences. A relative told us, “They (the service) have been able to meet [person’s] needs.” However, we identified some people had not had a regular review of their care needs and care plans did not always show how people or relatives had been involved in reviews. Comments from relatives supported this and included, “[Person] does have a care plan, it has not been reviewed nor (have I been) invited to any meetings” and “I have not been invited to any meetings in relation to [person].” Other comments from relatives confirmed, “I know that there is a care plan, but I have not seen it” and “I have not seen a care plan.” We discussed this with the registered manager who explained they were planning to transition care plans to the new electronic system so that reviews could be undertaken more regularly.

The service 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 service used a variety of tools to assess and deliver people’s care. Where people needed an adapted diet, this information was recorded and understood by staff. Staff were competent in delivering care. A staff member told us, “All the information has always been in the care plans.”

The service 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. People had hospital passports in place to ensure a smooth transition for their care should they be admitted to hospital. Guidance from health professionals, such as, dietary requirements or how to support people to move, was recorded and staff followed these instructions. Staff were kept updated with changes. A staff member told us, “We read the handover book, it tells you what has been going on. If we’ve got any questions we can talk to the [registered] manager or a team leader.”

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 and where possible, reduce their future needs for care and support. People’s heath and wellbeing was monitored, for example, people’s weight, food and drink, when required. The service took immediate and appropriate action to ensure people received support from health professionals. A relative confirmed, “[Person] sees GP if needed, optician, chiropodist and foot doctor to check their feet.” Another relative said, “If [person] has health issues they would call the GP. [Person] sees other professionals, like District Nurses.”

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 were cared for in a way which supported them to achieve good outcomes. For example, a person needed support to walk when they first moved to the home. Since living at the home, this person has started walking. Another person had been resistant to personal care before they moved to the home. Because of the rapport staff had built with the person their relative told us, “The [staff] have been the first to actually encourage and succeed in getting [person] into the shower.” Another relative said, “[Person] is supported a lot with their moods. [Person] was very depressed at home but now they are a lot better.”

The service told people about their rights around consent and respected these when delivering person-centred care and treatment. People’s views and wishes were considered when their care was planned. People’s capacity was assessed and meetings to discuss decisions taken in people’s best interests were held and recorded. Relatives’ comments included, “The way they (staff) look after [person] you can see it is in [person’s] best interest. I know that they are safe”, and “[Person] can make their own decisions, [person] chose to live in this home.”