Creative Care and Support Limited

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 changed to requires improvement. This meant the effectiveness of people’s care, treatment and support did not always achieve good outcomes or was inconsistent.

This service scored 58 (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 did not always make sure people’s care and treatment were effective. Assessments were completed prior to support starting but were not comprehensive and the information collected did not always transfer through to care plans on the new system. Care records were not person centred and often lacked detail of how a person wanted to be supported as well as information around capacity and communication. One person had information in their assessment regarding a hearing impairment, but this information was not included in their care plan. The provider offered reassurance that this information would be addressed and available in the new electronic recording and management system.

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. We saw evidence of involvement from other health care professionals and feedback received from professionals was positive about partnership working. However, recording of this was inconsistent and care plans were not person centred or detailed. The provider was confident that the new electronic recording and management system would resolve issues identified.

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. Evidence of joint working with partners was available and feedback received from professionals was positive about how they and staff worked together. One commented, “Creative care staff are professional and work to the best of their ability when working alongside other agencies.”

The provider supported people to manage their health and wellbeing to maximise their independence, choice and control. We received positive feedback from professionals about support given by staff and staff could describe how they supported people to remain healthy and what action they would take if someone’s health changed, or they required additional support.

The provider had systems in place to gather feedback from people and relatives on their care and had systems in place to monitor support provided including on site observations. However, the lack of robust systems to provide service level oversight could also result in themes and trends not being identified and missed opportunities to improve service delivery. Some staff also told us that the frequency of onsite observations including completion of competency assessments had reduced. The provider had recently recruited a member of staff who would be responsible for the oversight of compliance and offered assurance that this would improve quality monitoring and improve outcomes across all areas of service delivery.

People were aware of their rights around consent and staff respected these when delivering person-centred care and treatment. However, people’s care plans did not always contain sufficient information about the type of decisions they were able to make and how best to support them to make these decision including any support a person may need with communication. Staff received training in the Mental Capacity Act and understood the importance of ensuring that people fully understood what they were consenting to and the importance of obtaining consent before care was delivered. One staff commented, “Always got to give them a choice. You can’t just go in and say you have to do something. I do as if it was me and I’d like to have a choice.” The provider confirmed that they would ensure that this information would be added to the electronic recording and management system for each person supported.