All-In-One MultiCare Service 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.

This is the first assessment for this newly registered 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 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 registered manager explained that information gathered during initial assessment informed the risk assessments and care plans. This was conducted with the person receiving care and relatives, if appropriate. Other healthcare professionals were still involved, if required.

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.

The provider worked well across teams and services to support people. Communication worked well within the service. There was a small staff team who communicated with each other and the registered manager. Relatives told us they could speak easily with staff and the registered manager, and their views were listened to.

The provider supported people to manage their health and wellbeing to maximise their independence, choice and control. Records showed people's health was monitored and appropriate support offered with nutrition and hydration.

The provider 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. Care plans detailed people's goals and outcomes. Relatives told us staff responded to people's changing needs and considered the needs of the family as well. A relative said, “They [the service] were very flexible, they listened what we needed as a family. [Name of the registered manager] went out of the way [to be flexible]. One day [person] wanted to go to the church, and they arranged for someone to go with them, they did what was right for them. [Person] was terminally ill with cancer.”

People were involved in their care and their consent was recorded. There were policies and procedures in place to gain consent from people or apply the requirements of the mental capacity act. Although there was appropriate documentation in place to assess and record people’s involvement in making decisions, including if they lacked capacity to make some decisions, we found some examples where the provider's understanding of the application of the mental capacity act was not always robust. We discussed this with the registered manager, and they told us they would review this.