Choice Care 4 U Services Ltd

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 requires improvement. At this assessment, 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. Multidisciplinary assessments were carried out prior to people joining the service to ensure their needs could be met. Information gathered from assessments was used to identify the type and level of support people needed to support them well.

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. A person told us, “I have a care plan in place, and I can voice my needs, and they can be taken into account for the plan.” There were effective systems in place to assess and monitor people’s health, care, and outcomes. A relative told us, “Carers have been instrumental in letting me know when [name] health declines and what action agreement needs to be taken.”

The provider worked well across teams and services to support people. Staff told us changes to people’s care and treatment plans were communicated effectively and promptly using an electronic care monitoring system. A relative said, “We have an electronical [name] care record I can log into, so I can track any reported issues with my relative which is good.” Health and social care professionals shared positive experiences about partnership working and outcomes for people.

The provider supported people to manage their health and wellbeing to maximise their independence, choice, and control. Care records showed that people had access to routine and specialist health care treatment and appointments. Staff were knowledgeable about the support each person needed to achieve good health and knew the signs to indicate a person’s health may be deteriorating. A relative told us, “There have been times when the carers have shown more care by informing me of my relatives fluctuating health and sometimes, they will check with the doctor.”

The provider routinely monitored people’s care and treatment to continuously improve it. There was an emphasis on the importance of taking time to talk with people. This supported better mental health and provided an opportunity to monitor people’s well-being. People and their relatives told us they were involved in reviewing and monitoring their care. A person said, “My care plan has been updated many times over the years to reflect my care, all the staff come together to make sure that gets done.” Health and social care partners told us monitoring processes were effective in ensuring peoples care and wellbeing needs were met.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. Staff worked collaboratively with people, families, and professionals to ensure people’s rights and freedoms were respected. People told us staff had regard for their feelings and wishes and ensured these were considered in all decisions about their care. This included decisions made on people’s behalf and in their best interest. Staff and managers worked within the principles of the Mental Capacity Act 2005(MCA). They knew how to support people safely ensuring any restrictions necessary were proportionate to the risk and seriousness of harm to that person.