Destiney Social Care Provider

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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

People's care records included assessments of specific risks posed to them, such as risks arising from their home environment, skin integrity and the risk of malnutrition and dehydration. However, we found the assessments were not sufficiently detailed. Further work was required to ensure support plans contained detailed information to enable people to receive appropriate care and support that was responsive to their needs. Staff recognised and responded to changes to individual's needs.Care staff knew the principles of the MCA and understood how this impacted on the people they cared for.

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.

While the people we spoke to expressed that they were generally happy with their care, our assessment found elements of care did not meet expected standards. People were involved in the assessment of their needs. Their relatives and friends, where appropriate, were actively involved in developing their plan of care. One relative commented. “[Relative] has a care plan, which I access via the app. The manager came to the house to create it, and it has been reviewed when necessary.”

Staff could tell us how they were informed when people’s needs changed and their role in identifying and notifying changes. One staff member said they would report “changes in medication, falls, conditions deteriorating, and change.” They said they would report this to the line manager by text or a call. While staff gave us positive feedback about assessing people’s needs our assessment found elements of care did not meet the expected standard.

Assessments were completed prior to support starting but did not follow best practice guidance or follow the requirements of the provider's policies and procedures. Support plans and risk assessments lacked detail regarding people's specific health needs, such as diabetes. The plans in place were not sufficient to ensure staff knew how to best support the person. For example, people did not have assessments in place in relation to nutrition and hydration, as well as gathering information about people’s health, allergies and conditions that may affect the person’s ability to eat and drink independently.

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 and their relatives confirmed people's right to make their own decisions was respected

Care staff knew the principles of the MCA and understood how this impacted on the people they cared for. Staff understood the importance of supporting people to make their own decisions and obtaining consent from people before care was delivered.

The service was working within the principles of the MCA and care was delivered in the least restrictive way possible. The provider was always following their own policies and best practice guidance in relation to the MCA.Consent was consistently sought from people before they received a service.