Platinum living care

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 to ensure staff could meet them. Care records were reviewed with people and their relatives on a regular basis and changes were made when required. People’s ability to make decisions about all aspects of their care had been assessed and detailed in their care records. Staff supported people to make their own decisions and choices.

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 told us they were informed about the agency from the local authority or when they had been discharged home from the hospital and required some care. People’s needs were assessed before care was delivered. Assessments were comprehensive and detailed all aspects of people’s health and social care. The information from people’s initial assessment was then used to develop the person’s care plan and risk assessments. Staff knew people well and told us they spent time reading people’s care records before the completed and care shifts. People’s care plans were detailed and personalised. For example, what they could and couldn’t do for themselves, what they wanted the care workers to do and how they liked their care to be delivered. One person who had a visual impairment needed to ensure the care workers put all items back exactly where they had found them and to ensure the environment was free from trip hazards. Another person liked to dress up and go out once a week. Care plans and risk assessments were reviewed on a regular basis. Changes were made as necessary following the reviews, for example, for some people this had resulted in an increase in their care needs, which was agreed with the person, their family and the multidisciplinary teams. Additional time was also allocated to support more social interaction and support.

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 any care or support task. Comments from people included, “They always tell me what they’re going to do. They give me independence where I can”, “They always ask if it’s alright if they can do things” and, “Staff asked permission before bringing along a new member of staff along to do a shadow visit.” People’s capacity to make decisions about aspects of their care were detailed in their care plans. People were supported to make informed choices and encouraged to make decisions as much as they could for themselves. Staff understood that some people who had the capacity to make decisions did not always make decisions that were wise and could lead to self-neglect. Where necessary people had independent advocates to support them. Where Powers of Attorney had been awarded to a family member, this was fully documented. Staff had been trained and followed the principles of the Mental Capacity Act 2005 in respecting people’s choice to make decisions whilst giving them relevant information and encouragement so they could make a fully informed decision.