Care Needs Limited Stockport

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

People’s needs were assessed and reviewed. People’s care plans were overall reflective of their needs. However, some care plans lacked detail and personalised information about the person receiving support.

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.

There was evidence that people’s needs were assessed. People told us they had an initial assessment prior to their care commencing. One person told us: ” Yes, I was asked about my needs.“One relative told us: “They came out and did an assessment."

Staff knew people well and recognised people’s immediate needs. One staff member told us: “I support a lady who has memory issues and gets distressed. I know what to say to her to reassure her.” One relative told us: “My loved one, has speech problems, staff have great a relationship with them, and lots of banter.”

There were processes in place to ensure people’s needs were assessed prior to admission, and there was evidence that people’s care plans were reviewed periodically. However, some of the care plans lacked detail and were less person- centred than others.

People told us they were involved in their care planning and their needs were reviewed. One person told us: “Yes, I do have a care plan, and I go through it every 6 months. In fact, it was reviewed the other week.” Another person told us: “Yes, I do have one and yes they [staff name] review it with me.” One relative told us: “I have seen it and they review it with me once a year.” Another family member told us: “Yes, I helped them formulate them, we haven’t reviewed it but if there were any changes they would inform me.”

Staff had a good understanding of people's needs and knew how to support them. People’s care plan’s included information regarding people’s needs such as dietary requirements and information regarding support needed. Some of the care plans were more comprehensive and person-centred than others. Staff were aware and worked in line with best practice and current guidance.

Staff worked together well to ensure people received good care. Staff felt supported in their roles and felt they could speak up and share their feedback. One staff member told us: “This company is very open. I can ring the office and speak to them any time.” Another staff member told us: " We are a good team.” Staff told us they work with other agencies and stakeholders to meet people’s outcomes. However, we did not receive much feedback from the stakeholders at the time of this inspection.

Staff had a good understanding of people’s needs and their preferences. One person told us: “Yes, the care is brilliant. I thought when I had carers, I didn’t think I would like it, and it is brilliant.” One relative told us: “Staff are very responsive to my loved one's condition who is currently unwell which is making the use of a hoist critical-they know they need to be extra careful, and they are. "People's needs and preferences were not always detailed in their care plans.

People were supported in a person-centred way which considered their personal skills, strengths and goals. One person told us: “I do what I can on my own, I want to keep as independent as possible, but they do tell me to be careful.” Another person told us: “They always ask me if I want to use the commode or go to the toilet, and they do their best for me.” One relative told us: “The carers are brilliant and have so much humour with my loved one, they make them feel comfortable.”

There was evidence that people’s care was routinely monitored and reviewed. People were receiving support from relevant professionals when needed. One staff member told us: “The lady I support has a catheter and there is a District Nurse involved.”

Staff supported people in a person-centred way and recognised people’s different communication needs. One relative told us: “My loved one has speech problems; staff have a great relationship with them and lots of banter.” One staff member told us: “We support people who may get confused. I support a lady with dementia, when she gets distressed, I provide reassurance.”

People told us that staff sought their consent prior to providing care and support. One person told us: “Yes, they do ask my consent before they help me.” One relative told us: “Yes, they are lovely, definitely.”

Staff had good understanding of the Mental Capacity Act and the importance of obtaining people’s consent. One staff member told us: “We ask for people’s consent to make sure they are happy.” Another staff member told us: “If a person couldn’t communicate, I would ask a family member." People’s consent was not always recorded in their plan. It was not always clear when a person lacked capacity to consent to their care and somebody else acted on their behalf that they had a right to do so. We told the provider about this.