Visiting Angels North Yorkshire and West

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 inspection we rated this key question requires improvement. At this inspection the rating has changed to 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’s needs were assessed and person-centred support plans and risk assessments were in place to guide staff. People were involved in all decisions about their care and support. People said they had met the registered manager before using the service, and had follow up visits from the registered manager to check if any changes were needed. One person said, “They [registered manager] came and had a long chat with us.”

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. There was evidence of regular review and records being updated following any changes.

People told us that where staff supported them with meals preparation, staff presented the food well to encourage people to eat. People told us staff provided support and encouragement where they had equipment or activities to promote their health and safety. One person said, “Staff make sure [alert pendant] is on and that everything is within easy reach.”

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. Managers and staff understood the importance of sharing accurate information with other professionals in a timely manner.

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’s health conditions were well documented. This included how those conditions may affect the person. Where needed, staff supported people to access a range of health care professionals and equipment.

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they met both clinical expectations and the expectations of people themselves.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment.

The provider was meeting the requirements of the MCA. People’s capacity to consent was identified, documented and respected. Staff had received training in MCA and understood their responsibility with regard to gaining people’s consent. People told us their consent was always sought, and they were involved in decisions about their care and support. Relatives said, “I have heard them say ‘we’re going to do this, we’re going to do that is that all right’?” and “They would offer ‘do you want to have a shave today?’ ‘Where do you want to sit?’”