Noblesse Care 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

This was the first assessment of this registered service under a new provider and therefore we assessed all 6 quality statements from this key question. Based on the findings of this assessment, our rating for this key question is 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.

People told us staff supported them in line with their assessed needs.

The registered manager told us people’s needs were assessed before they began to use the service. This allowed them to identify individual support needs and any areas of risk.

Care plans contained details about people’s assessments which included the areas they needed help, such as personal care, mobility and nutrition. This information was used to allocate and work out call visit times and tasks that needed to be done.

People told us staff provided them with all the care and support they needed.

People were supported through good care planning and managers ensured care plans reflected current people’s needs.

People had individual care plans, providing staff with the information required for tailored personalised care.

People told us staff helped them in relation to liaising with external health and social care professionals such as GP’s and district nurses. One person said, “They help with communication with the district nurses, community teams.”

The registered manager told us they worked in partnership with community teams to ensure people received joined-up care. Staff spoke about how they had supported people in the home and liaised with healthcare professionals when needed.

We did not receive any feedback from external health and social care professionals, however records seen indicated there were no concerns in this area. Care records showed input of community teams such as OT. Also, feedback from people and relatives indicated no concerns.

Care records included details of any community health and social care professionals that were involved in people’s care.

People using the service told us they had access to health care professionals such as GP services and care workers supported them to lead healthier lives. One relative said, “They monitor her health. She makes suggestions like going to the Doctor.”

Staff received training in how to meet and appropriately manage people’s health care needs and conditions, for example nutrition and diet and first aid.

There were processes in place to ensure people's health care needs were met. For example, there was evidence of involvement of healthcare professionals such as district nurses and occupational therapists.

People and their relatives told us they experienced positive outcomes because of the support they received from care workers. One relative said, “[Family member] had a chest infection, staff supported her through that.”

Staff told us they met regularly to discuss any changes to people’s needs and the packages of care they received.

Care plans were outcome focussed. For instance, they included planned outcomes for people such as maintaining adequate dietary/fluid intake, personal hygiene and support with daily living. The quality of service people received was routinely monitored by the provider through a range of spot checks and observations. The outcome of any governance and quality assurance checks were shared with the staff team.

People told us staff asked for their consent when supporting them. They also said they were involved in planning their care and agreeing to their call visit times and support tasks when they first began to use the service.

Managers and staff were aware of their duties and responsibilities in relation to the Mental Capacity Act 2005 (MCA).

Care plans included details about people’s mental capacity and their ability to make decisions for themselves or not. Training records showed staff had received Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS) training. Care records were signed by people and, where appropriate, their next of kin indicating their agreement to their content.