Caring Partnership Ltd

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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 2 quality statements in the effective. During this assessment, we received positive feedback regarding staff, and people said staff respected their choices and asked for consent. Staff worked well together to meet the needs of people.

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.

People and relatives felt involved in the assessment and planning of their care. Comments included, "Yes I have seen [my care plan], I was part of making it" ; "Yes we have [a care plan], there are pages of it" and "Yes we were involved in the planning, they came and did a home visit and we all fed in and we have 6 monthly meetings and any in between if needed."

The registered manager explained us how initial assessments were completed by the care managers, who contacted and met with people and their relatives, to then jointly complete the care plan and risk assessments. This ensure care was planned in a way that met people's needs and preferences.

Initial assessments were documented to show needs and preferences had been assessed before commencement of the care package.

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.

We did not look at Monitoring and improving outcomes during this assessment. The score for this quality statement is based on the previous rating for Effective.

People told us staff sought their consent before delivering care and that they were able to make choices about their care. Comments included, "Yes they do [ask for consent] actually" ; "Yes they speak to me all the time, it is like comedy half hour most of the time" and "Yes they do [respect my choices]."

The registered manager and staff were aware and following the principes of the MCA. A staff member told us, "Even if people have issues with their capacity, we should not assume that covers everything, each area of life needs to be assessed, they might have capacity for something but not for something else. So we assume capacity and there must be something in the care plan [about people's capacity]. Even if they are making choices that might be unwise, we don’t have the right to say no."

The provider had identified that consent to care records needed to improve and were making steps to address this. In our review of people's care records, we found consent to care for people who were able to make decision about it was well recorded and detail. For people who lacked capacity to make decisions about their care and health, a mental capacity assessment and best interest decision had been completed but this was not always decision specific. In our conversations with the registered manager we were assured they understood the principles of the Mental Capacity Act, including that any decisions made for people who might lack capacity need to be specific. Mental capacity act requirements application in practice while delivering care were also discussed during team meetings. Some people had restrictions in place as part of their care arrangements, such as a medication safe in place. This was risk assessed and plans put in place, with relevant relatives and healthcare professionals, to ensure this was done safety and it was the least restrictive option for the person.