Unique Care Network 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

We assessed 1 quality statement in the effective key question and found areas for improvements. The scores for these areas have been combined with scores based on the rating from the last inspection, which was good. Though the assessment of these areas indicated areas for improvement since the last inspection, our rating for the key question remains good. Relatives were not always involved in the reviews of people’s needs and outcomes. Although peoples care was monitored records did not clearly demonstrate how people’s goals and aspirations were being measured to establish if people achieved positive outcomes.

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.

We did not look at Assessing needs during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at Delivering evidence-based care and treatment during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at How staff, teams and services work together during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at Supporting people to live healthier lives during this assessment. The score for this quality statement is based on the previous rating for Effective.

Relatives told us they were not always consulted or involved in reviews of individuals’ goals and aspirations. A relative said, “I have organised activities for [person] myself. Staff do support [person] to attend these, but I don’t get much feedback about how they are doing, or about how they are developing other life skills to enable them to become more independent.” Another relative said, “We have not been invited to attend any reviews to discuss [person] needs and outcomes. I would like [person] to do more meaningful activities and to develop their skills where possible.”

Staff told us how they supported people to maintain their independence and to attend planned activities. A staff member said, “Where possible we encourage [person] to do as much for themselves as possible when dressing or eating their food. I also take [person] to activities which help strengthens their mobility.” However, staff were not recording the outcomes of what people had achieved in their daily notes. The operations manager told us about people’s goals that had been achieved. For example, one person went away on holiday. However, we did not see evidence to support this had been discussed and recorded as part of that persons care plan.

Although people’s individuals’ goals were included in their care records, plans detailing how these outcomes were to be achieved were not in place and outcomes were not measured. Records did not show people’s progression towards goals. Therefore, it was hard to establish based on care records if people achieved positive outcomes. We saw key worker meetings were completed however these did not focus on people’s achievements and progression towards their goals.

We did not look at Consent to care and treatment during this assessment. The score for this quality statement is based on the previous rating for Effective.