Fembistem Care

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. Care plans identified and assessed people's needs along with care and support required to meet these needs.

Assessment tools included the pre-assessment document and the care plan document, both of which were used to develop personalised care strategies. Reviews were documented in the care plan notes which ensured transparency and proper record-keeping. This approach supported accurate, secure and up-to-date communication with people.

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 linked with local community-based nursing teams to highlight additional care and support needs. This resulted in the care package being increased to support improved outcomes for the people. Family members provided positive feedback about the service. One person said, “[We were] not able to find any fault. [They were] always punctual. All care staff are extremely professional and caring. Treated [family member] with utmost respect and [they were] caring towards the rest of the family. Cannot praise them highly enough. Brilliant from the very first visit.”

The provider 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 were involved in conversations about their care and support and there was good communication and information sharing within the staff team to ensure continuity of care and support for people. The registered manager maintained good communication links with local health and care services and shared and received information about people’s care needs appropriately.

The provider supported people to manage their health and wellbeing to maximise their independence, choice and control. Staff supported people to live healthier lives and where possible, reduce their future needs for care and support. People and their families were involved in conversations about additional care and support to meet their needs and improve their health outcomes. There were good links with specialist community nursing services which ensured people received the appropriate support with pressure care and tissue viability needs.

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured outcomes were positive and consistent, and that they met both clinical expectations and the expectations of people themselves. The provider maintained clear records and monitoring information about people’s care provision. Care was provided in line with care plans and clinical expectations.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. People gave consent for their care and support and this was recorded in their care plan. The registered manager told us, “During assessments the [person’s] next of kin is always present and Fembistem Care ensures they are fully informed about the care being provided.” The Mental Capacity Act 2005 (MCA) provides a legal framework for making particular decisions on behalf of people who may lack the mental capacity to do so for themselves. The MCA requires that, as far as possible, people make their own decisions and are helped to do so when needed. When they lack mental capacity to take particular decisions, any made on their behalf must be in their best interests and as least restrictive as possible. We found the service was working within the principles of the MCA.