Tru Caring

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. At our last assessment we rated this key question good. At this assessment the rating has remained 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. People told us that they were involved in the planning and review of their care. People’s initial care assessments were completed prior to care commencing. These included information from people and professionals. Senior staff completed regular reviews of people’s care assessments thereafter. This helped to ensure people’s care plans reflected their most current needs.

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 had developed policies in line with best practice guidance and kept them updated to reflect the most current recommendations. This included policies around, medicines, safeguarding and The Mental Capacity Act 2005.

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. The provider was flexible in their approach to help facilitate people attending health appointments and in some cases provided support where people were unable to attend independently. This helped ensure there was a joined-up approach between services involved in people’s care.

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 told us that staff had a good understanding of their health needs and supported them to maintain and improve their health. Where people had specific health conditions, guidance around these conditions was documented in their care plans. Staff had training in line with these conditions to help ensure they provided effective support. Senior staff monitored daily care records to help identify when people’s needs were changing and whether levels of care needed adjusting. The provider communicated changes in people’s healthcare needs to staff via a secure electronic messaging app. This meant key messages and changes to care were communicated to staff in real time.

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and met the expectations of people themselves. People told us desired outcomes were agreed with the provider before care initially started. For example, some people wished to remain as independent as possible in aspects of their daily lives, with care arranged to promote this. The provider held regular reviews with people to determine how effective care. Where changes were required, care plans were adjusted and agreed by all parties to help ensure people and staff were working towards shared outcomes.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. There were policies and procedures in place to ensure valid consent to care was obtained. People told us staff asked their consent before providing care. There were policies and procedures to help ensure staff provided care in line with the Mental Capacity Act 2005 (MCA). Staff had a good understanding of the need to obtain valid consent to care. Where people had appointed a power of attorney, the provider ensured they verified the validity and scope of these appointments. This helped to ensure the provider understood who could legally act on people’s behalf and in what circumstances these powers were applicable.